Individual provider Active NPI

Ellen M Bajorek, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1063417541
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
25820 Issued in TX
Practice address
7950 Floyd Curl Dr
Medical Center Tower 1, Suite 803
San Antonio, TX 78229-3919
Phone
(210) 615-9500
Fax
(210) 615-9600
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 25820 TX Primary
Psychologist 103T00000X 768 OK
Psychologist 103T00000X 6301009400 MI

Addresses

Primary practice location

7950 Floyd Curl Dr
Medical Center Tower 1, Suite 803
San Antonio, TX 78229-3919

Mailing address

7950 Floyd Curl Dr
Medical Center Tower 1, Suite 803
San Antonio, TX 78229-3919
Phone (210) 615-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301009400MIMDPsychologist
25820TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Family Health Center Past Accepting new patients
Cardiac Electrophysiology Consultants of South Texas, PA PastSince Jun 4, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1063417541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "MEDICAL CENTER TOWER 1, SUITE 803",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-615-9500",
            "fax_number": "210-615-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "MEDICAL CENTER TOWER 1, SUITE 803",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-615-9500",
            "fax_number": "210-615-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJOREK",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "25820",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "768",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.