Active NPI
Rodolfo a Quintana PSYD PA
- Clinical Psychologist
- McAllen, TX
National Provider Identifier
1205067964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32103
- Legal business name
- RODOLFO A QUINTANA PSYD PA
- Practice address
- 1801 S 5TH St Ste 122
McAllen, TX 78503-2919 - Phone
- (956) 630-9454
- Fax
- (956) 630-9447
- NPI assigned
- Jul 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodolfo A Quintana, PSY.D.
- Title
- Owner
- Phone
- (956) 630-9454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32103 | TX | Primary |
Addresses
Primary practice location
1801 S 5TH St Ste 122
McAllen, TX 78503-2919
Mailing address
PO Box 5622
McAllen, TX 78502-5622
Phone (956) 630-9454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2053366201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1801 S 5th St
Ste 122
McAllen, TX 78503
Phone (956) 630-9454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285804800000",
"number": "1205067964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5622",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785025622",
"telephone_number": "956-630-9454",
"fax_number": "956-630-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S 5TH ST STE 122",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785032919",
"telephone_number": "956-630-9454",
"fax_number": "956-630-9447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODOLFO A QUINTANA PSYD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-29",
"last_updated": "2010-09-30",
"status": "A",
"authorized_official_last_name": "QUINTANA",
"authorized_official_first_name": "RODOLFO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-630-9454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2053366201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
- Javier Rocha, P.T.
- Rock Bridge Home Health Agency, Inc
- Yvette L Rodas
- Roderick V. Vergel de Dios, M.D., P.a. (Vergel de Dios Family Clinic)
- Rodney S. Carlson (Life HCS Program)
- Rodrigo Lema MD PA
- Gideao Rodrigues
- Isabel Cristina Martins Rodrigues, NP
- Daniel Rodriguez Castillo
- Jessica Rodriguez de Sanchez, SLP-INTERN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.