Individual provider Active NPI

Mary T. Torres, PSY.D.

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1194740423
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32562 Issued in TX
Practice address
4414 Centerview Ste 152
San Antonio, TX 78228-1418
Phone
(210) 694-4233
Fax
(210) 641-2099
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32562 TX Primary

Addresses

Primary practice location

4414 Centerview Ste 152
San Antonio, TX 78228-1418

Mailing address

4414 Centerview Ste 152
San Antonio, TX 78228-1418
Phone (210) 694-4233

Other identifiers 3

IdentifierTypeStateIssuer
0056NNOtherTXBLUECROSS BLUESHIELD
001131OtherVALUE OPTIONS
12700041572000OtherTXTEXAS REHABILITATION COMM

Other names 1

  • Dr. Mary Therese Torres Professional name

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
I20050124000850 TX Practitioner - Clinical Psychologist 7012967417 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4414 Centerview
Suite 120
San Antonio, TX 78228-1404
Phone (210) 694-4233

4414 Centerview
Suite 152
San Antonio, TX 78228-1418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Texas Psychological Associates Past Accepting new patients

Organizations & group practices 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1194740423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 CENTERVIEW STE 152",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281418",
            "telephone_number": "210-694-4233",
            "fax_number": "210-641-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 CENTERVIEW STE 152",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281418",
            "telephone_number": "210-694-4233",
            "fax_number": "210-641-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MARY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0056NN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "001131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS REHABILITATION COMM",
            "identifier": "12700041572000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TORRES",
            "middle_name": "THERESE",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.