Organization Active NPI

Arbor Psychological PLLC

  • Clinical Psychologist
  • College Station, TX
National Provider Identifier
1033753660
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ARBOR PSYCHOLOGICAL PLLC
Practice address
750 William D Fitch Pkwy Ste 520
College Station, TX 77845-7494
Phone
(979) 335-9199
Fax
(979) 232-2176
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Dr. Maribel R Hinojosa, PH.D.NPI 1821158353
Title
Clinical Psychologist
Phone
(979) 324-7931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

750 William D Fitch Pkwy Ste 520
College Station, TX 77845-7494

Mailing address

2172 Chestnut Oak Cir
College Station, TX 77845-4168
Phone (979) 324-7931

Other names 1

  • Maribel R. Hinojosa Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212001565 TX Part B Supplier - Clinic/Group Practice 2062845639 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX; College Station, TX

National Provider Directory

National Provider Directory

Locations

2905 Central Blvd
Ste C
Brownsville, TX 78520
Phone (956) 546-6100

750 William D Fitch Pkwy
Ste 520
College Station, TX 77845
Phone (979) 335-9199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1033753660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 CHESTNUT OAK CIR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454168",
            "telephone_number": "979-324-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WILLIAM D FITCH PKWY STE 520",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457494",
            "telephone_number": "979-335-9199",
            "fax_number": "979-232-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PSYCHOLOGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "HINOJOSA",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "979-324-7931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maribel R. Hinojosa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.