Individual provider Active NPI

Rosario C. Deleon, PH.D.

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1164622809
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
33494 Issued in TX
Practice address
3730 Kirby Dr
Suite 800
Houston, TX 77098-3905
Phone
(713) 521-7575
Fax
(713) 521-7576
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 33494 TX Primary

Addresses

Primary practice location

3730 Kirby Dr
Suite 800
Houston, TX 77098-3905

Mailing address

3730 Kirby Dr
Suite 800
Houston, TX 77098-3905
Phone (713) 521-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000740 TX Practitioner - Clinical Psychologist 4880865989 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Feb 15, 2017 Accepting new patients
Tri-County Clinical Current Accepting new patients
Dell Children'S Medical Group CurrentSince Feb 15, 2017 Accepting new patients
Dell Children'S Medical Group Current Accepting new patients
Premier Psych Services LLC Past Accepting new patients
Larka Inc Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Barbara Jordan Blvd
Ste 401
Austin, TX 78723
Phone (512) 628-1810

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: rosario.deleon.2@8363.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1164622809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR",
            "address_2": "SUITE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983905",
            "telephone_number": "713-521-7575",
            "fax_number": "713-521-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR",
            "address_2": "SUITE 800",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983905",
            "telephone_number": "713-521-7575",
            "fax_number": "713-521-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "ROSARIO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.