R. P. Yurcheshen, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21782 Issued in TX

Legal business name

R. P. YURCHESHEN, PH.D., P.C.

Practice address

6391 De Zavala Rd
Ste 203C
San Antonio, TX 78249-2143

Phone

(210) 734-6668

Fax

(210) 734-6660

NPI assigned

Jan 8, 2007

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Paul Yurcheshen, PH.D.NPI 1104974773

Title

President

Phone

(210) 734-6668

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Richard Paul Yurcheshen, PH.D.

  • Psychologist
  • San Antonio, TX
  • NPI 1104974773
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1063560654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD STE 203C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492159",
            "telephone_number": "210-734-6668",
            "fax_number": "210-734-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 DE ZAVALA RD",
            "address_2": "STE 203C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492143",
            "telephone_number": "210-734-6668",
            "fax_number": "210-734-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. P. YURCHESHEN, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "YURCHESHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-734-6668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JC51",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "27739900",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341463-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.