Jorge Hernando Carrillo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24411 Issued in TX

Practice address

7826 Hillmont St
Houston, TX 77040-6108

Phone

(713) 939-1229

Fax

(713) 939-1569

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

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• Houston Bilingual Psychology PLLC

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  NPD Authorized official
• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
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  • NPI 1134169287
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1174627186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 HILLMONT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406108",
            "telephone_number": "713-939-1229",
            "fax_number": "713-939-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 HILLMONT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406108",
            "telephone_number": "713-939-1229",
            "fax_number": "713-939-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5246 Dow Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770406202",
            "country_code": "US",
            "telephone_number": "713-939-1229",
            "fax_number": "713-939-1569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JORGE",
        "middle_name": "HERNANDO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24411",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "6244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140804901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140804905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elba Virginia Carrillo
• Elizabeth Carrillo
• Esmeralda Carrillo, PA-C
• Jessica Carrillo
• Jessica Cecilia Carrillo, MD
• Julie Ngozi Carrillo, APRN
• Lisa Carrillo, PT
• Louis Carrillo, M.D.
• Maria Lourdes Carrillo, LCSW
• Matthew Paden Carrillo, MA, LPC, LMHC, NCC

• Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.