Mid-Valley Behavioral Health and Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33917 Issued in TX

Legal business name

MID-VALLEY BEHAVIORAL HEALTH AND PSYCHOLOGICAL SERVICES

Doing business as

Mid- Valley Behavioral Health & Psychological Services

Practice address

700 N Veterans Blvd Ste E
San Juan, TX 78589-3226

Phone

(956) 685-5377

Fax

(956) 685-5357

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Yomeida Medina

Title

Office Manager

Phone

(956) 685-5377

Specialties & licenses 1

Addresses

Other names 1

• Mid- Valley Behavioral Health & Psychological Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vittorio T Puente, PH.D.

  • Psychologist
  • San Juan, TX
  • NPI 1013232081
  Medicare reassignment

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1205209186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N VETERANS BLVD STE E",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893226",
            "telephone_number": "956-685-5377",
            "fax_number": "956-685-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N VETERANS BLVD STE E",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893226",
            "telephone_number": "956-685-5377",
            "fax_number": "956-685-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY BEHAVIORAL HEALTH AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "YOMEIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-685-5377"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid- Valley Behavioral Health & Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid- Valley Behavioral Health & Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in San Juan, TX
• Providers in San Juan, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.