Active NPI
Frank Anthony Pugliese, PH.D.
- Clinical Psychologist
- Temple, TX
National Provider Identifier
1225032790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21763
- Practice address
- 2027 South 61St St.
Suite 126
Temple, TX 76504-6817 - Phone
- (254) 774-8272
- Fax
- (254) 774-8290
- NPI assigned
- Jun 11, 2005
- Last updated
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 21763 | TX | Primary |
Addresses
Primary practice location
2027 South 61St St.
Suite 126
Temple, TX 76504-6817
Mailing address
2027 South 61St Street
Suite 126
Temple, TX 76504-6817
Phone (254) 774-8272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0981904-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21763 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene C Waters PHD PC | Current | Accepting new patients |
Locations
2027 S 61st St
Ste 126
Temple, TX 76504
Phone (254) 493-4559
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Temple, TX
- NPI 1265740559
-
- Clinical Child & Adolescent Psychologist
- Temple, TX
- NPI 1285094466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1225032790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 SOUTH 61ST STREET",
"address_2": "SUITE 126",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046817",
"telephone_number": "254-774-8272",
"fax_number": "254-774-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2027 SOUTH 61ST ST.",
"address_2": "SUITE 126",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046817",
"telephone_number": "254-774-8272",
"fax_number": "254-774-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLIESE",
"first_name": "FRANK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-11",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "21763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0981904-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.