NPIMap

Organization Active NPI

Bio-Services Inc

  • Clinical Psychologist
  • Victoria, TX
National Provider Identifier
1104969435
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BIO-SERVICES INC
Practice address
1001 E Airline Rd
Victoria, TX 77901-4031
Phone
(361) 575-5021
Fax
(361) 575-0623
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dr. Uri L Gonik, PH.D.NPI 1811081961
Title
Owner
Phone
(361) 575-5021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1001 E Airline Rd
Victoria, TX 77901-4031

Mailing address

1001 E Airline Rd
Victoria, TX 77901-4031
Phone (361) 575-5021

Other identifiers 2

IdentifierTypeStateIssuer
085330102MedicaidTX
00T62EOtherTXBCBS

Other names 1

  • Uri L. Gonik, PH.D. & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110810000673 TX Part B Supplier - Clinic/Group Practice 8325194061 Receives reassigned benefits from 2 practitioners
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Locations

2003 Patterson Dr
Victoria, TX 77901
Phone (361) 570-1200

1001 E Airline Rd
Victoria, TX 77901
Phone (361) 575-5021

Practitioners & affiliated clinicians

Practitioners 9

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1104969435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014031",
            "telephone_number": "361-575-5021",
            "fax_number": "361-575-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014031",
            "telephone_number": "361-575-5021",
            "fax_number": "361-575-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "GONIK",
        "authorized_official_first_name": "URI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-5021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085330102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00T62E",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uri L. Gonik, PH.D. & Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uri L. Gonik, PH.D. & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.