Individual provider Active NPI

Maria Guadalupe Cisneros-Solis, PHD

  • Clinical Psychologist
  • New Braunfels, TX
National Provider Identifier
1124047931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-3154 Issued in TX
Practice address
1778 Sunflower BLF
New Braunfels, TX 78130-1957
Phone
(512) 740-6210
NPI assigned
Jul 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-3154 TX Primary

Addresses

Primary practice location

1778 Sunflower BLF
New Braunfels, TX 78130-1957

Mailing address

1778 Sunflower BLF
New Braunfels, TX 78130-1957
Phone (512) 740-6210

Other identifiers 1

IdentifierTypeStateIssuer
165843701MedicaidTX

Other names 1

  • Mrs. Maria Cisneros-Solis Johnson Other name

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
2-3154TXMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124047931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 SUNFLOWER BLF",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781301957",
            "telephone_number": "512-740-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 SUNFLOWER BLF",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781301957",
            "telephone_number": "512-740-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS-SOLIS",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165843701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CISNEROS-SOLIS JOHNSON",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.