Organization Active NPI

Rodolfo a Quintana PSYD PA

  • Clinical Psychologist
  • McAllen, TX
National Provider Identifier
1205067964
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32103 Issued in TX
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

Updated by the provider on Sep 30, 2010

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2053366201MedicaidTX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.