Individual provider Active NPI

Frank Anthony Pugliese, PH.D.

  • Clinical Psychologist
  • Temple, TX
National Provider Identifier
1225032790
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21763 Issued in TX
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0981904-01MedicaidTX

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21763TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene C Waters PHD PC CurrentSince Jan 6, 2016 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.

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

Verify at the official NPI Registry.