Corinne Theresa Alvarez-Sanders, PH.D.
Individual provider Active NPI Psychologist · Giddings, TX
NPI 1174735120 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1174735120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 25331 (TX)
- Practice address
- 165 S Leon St
Giddings, TX 78942-3313 - Phone
- (512) 659-3978
- Fax
- (979) 542-9032
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160229001192 | TX | Practitioner - Clinical Psychologist | 1355403155 |
Reassigns benefits to 1 organization Practice locations: Austin, TX; Giddings, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25331 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonebridge Behavioral Health, P.a. | Current |
Accepting new patients | |
| Nicolas Carrasco, PHD., Inc. | Psychologist | Past |
Accepting new patients |
Locations
3305 81st St
Ste H
Lubbock, TX 79423
Phone (806) 748-6400
1010 Central Pkwy S
San Antonio, TX 78232
Phone (210) 255-1499
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25331 | TX | Yes |
Addresses
Primary practice location
165 S Leon St
Giddings, TX 78942-3313
Mailing address
1596 County Road 233
Giddings, TX 78942-6154
Phone (512) 659-3978
Other providers in Giddings, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.