Active NPI
Multicultural Behavioral Health of Texas
Doing business as Multicultural Clnic
- Psychologist
- Live Oak, TX
National Provider Identifier
1053095075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MULTICULTURAL BEHAVIORAL HEALTH OF TEXAS
- Doing business as
- Multicultural Clnic
- Practice address
- 8101 Shin Oak Dr Apt 6116
Live Oak, TX 78233-2479 - Phone
- (864) 516-9619
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ghian Fhillipe Pieraldi, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (864) 516-9619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8101 Shin Oak Dr Apt 6116
Live Oak, TX 78233-2479
Mailing address
8101 Shin Oak Dr Apt 6116
Live Oak, TX 78233-2479
Phone (864) 516-9619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15085112997 | Medicaid | TX |
Other names 1
- Multicultural Clnic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1508512997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1053095075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 SHIN OAK DR APT 6116",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332479",
"telephone_number": "864-516-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 SHIN OAK DR APT 6116",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782332479",
"telephone_number": "864-516-9619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTICULTURAL BEHAVIORAL HEALTH OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-10",
"status": "A",
"authorized_official_last_name": "PIERALDI",
"authorized_official_first_name": "GHIAN",
"authorized_official_middle_name": "FHILLIPE",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "864-516-9619",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15085112997",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Multicultural Clnic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.