Organization Active NPI

Aspire Services Group, LLC

  • Clinical Psychologist
  • Corpus Christi, TX
National Provider Identifier
1053604363
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ASPIRE SERVICES GROUP, LLC
Practice address
13330 Leopard St
Suite 4
Corpus Christi, TX 78410-4400
Phone
(361) 504-4028
Fax
(361) 288-8409
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Dr. Miceala Benavidez, PSY.D.
Title
Owner
Phone
(361) 504-4028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

13330 Leopard St
Suite 4
Corpus Christi, TX 78410-4400

Mailing address

13330 Leopard St Ste 5
Corpus Christi, TX 78410-4479
Phone (361) 504-4028

National Provider Directory

National Provider Directory

Locations

13330 Leopard St
Ste 4
Corpus Christi, TX 78410
Phone (361) 241-2020

13330 Leopard St
Ste 5
Corpus Christi, TX 78410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7793/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1053604363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 LEOPARD ST STE 5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104479",
            "telephone_number": "361-504-4028",
            "fax_number": "361-288-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 LEOPARD ST",
            "address_2": "SUITE 4",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104400",
            "telephone_number": "361-504-4028",
            "fax_number": "361-288-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "MICEALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-504-4028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.