Active NPI
Marie-Elise Du Buisson, PHD
- Clinical Psychologist
- Laredo, TX
National Provider Identifier
1073593075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 26604
- Practice address
- 8610 McPherson Rd
Suite 130
Laredo, TX 78045-6305 - Phone
- (956) 795-8325
- Fax
- (956) 795-8335
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 26604 | TX | Primary |
Addresses
Primary practice location
8610 McPherson Rd
Suite 130
Laredo, TX 78045-6305
Mailing address
5411 McPherson Ave
#252
Laredo, TX 78041-6834
Phone (956) 795-1343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86728A | Other | TX | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26604 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinkerman & Gonzalez Psychological | Clinical | Past | Accepting new patients |
| RGV Senior Care, PC | Clinical | Past | Accepting new patients |
| Whispers Behavioral Health Center | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Laredo, TX
- NPI 1477628451
-
- Clinical Psychologist
- Edinburg, TX
- NPI 1841388030
-
- Clinical Psychologist
- Edinburg, TX
- NPI 1124116322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073593075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 MCPHERSON AVE",
"address_2": "#252",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416834",
"telephone_number": "956-795-1343",
"fax_number": "956-795-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8610 MCPHERSON RD",
"address_2": "SUITE 130",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456305",
"telephone_number": "956-795-8325",
"fax_number": "956-795-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU BUISSON",
"first_name": "MARIE-ELISE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "26604",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "86728A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.