Active NPI
Luis Ponte Rodriguez
- Psychologist
- College Station, TX
National Provider Identifier
1013842418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4340 Decatur Dr Apt 5313
College Station, TX 77845-9754 - Phone
- (956) 324-3721
- NPI assigned
- Jun 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4340 Decatur Dr Apt 5313
College Station, TX 77845-9754
Mailing address
4340 Decatur Dr Apt 5313
College Station, TX 77845-9754
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 22, 2026 through Jun 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1013842418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 DECATUR DR APT 5313",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778459754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 DECATUR DR APT 5313",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778459754",
"telephone_number": "956-324-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTE RODRIGUEZ",
"first_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.