Justin O'Rourke, PH.D., ABPP, ABCN

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

36901 Issued in TX

Practice address

9643 Huebner Rd Ste 103
San Antonio, TX 78240-1752

Phone

(800) 291-1644

Fax

(210) 855-3988

NPI assigned

Dec 14, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Neuropsychology of Texas, PLLC

  • Clinical Neuropsychologist
  • San Antonio, TX
  • NPI 1902282759
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1023354321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9643 HUEBNER RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401752",
            "telephone_number": "800-291-1644",
            "fax_number": "210-855-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9643 HUEBNER RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401752",
            "telephone_number": "800-291-1644",
            "fax_number": "210-855-3988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Sundance Pkwy",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781302779",
            "country_code": "US",
            "telephone_number": "800-291-1644",
            "fax_number": "210-855-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP, ABCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36901",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS",
            "identifier": "36901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY (ABPP, ABCN)",
            "identifier": "8135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica O'Okinda, PHARMD
• Jody Lynn O'Quinn, D.D.S.
• Ryan P. O'Quinn, M.D.
• Gordie O'Rorke, MSPA-C
• Jane E. O'Rorke, M.D.
• Kristin O'Toole, DPT
• O&G Non Medical Transportation LLC
• O2 Docs PLLC
• Oak Angels Home Care LLC
• Oak Hills Chiropractic

• Clinical Neuropsychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.