Individual provider Active NPI

Hector J. Fernandez-Barillas, PHD

  • Psychologist
  • Tucson, AZ
National Provider Identifier
1225139850
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1320 Issued in AZ
Practice address
2102 N Country Club Rd
Suite 4
Tucson, AZ 85716-2831
Phone
(520) 325-6633
Fax
(520) 325-6644
NPI assigned
Sep 26, 2006
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1320 AZ Primary

Addresses

Primary practice location

2102 N Country Club Rd
Suite 4
Tucson, AZ 85716-2831

Mailing address

1601 N Tucson Blvd Ste 21
Tucson, AZ 85716-3407
Phone (520) 325-6633

Other identifiers 1

IdentifierTypeStateIssuer
122771MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000188 AZ Practitioner - Clinical Psychologist 3577464783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1601 N Tucson Blvd
Suite 21
Tucson, AZ 85716-3407
Phone (520) 325-6633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1320AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hector J F Barillas P H D P C CurrentSince Oct 1, 2003 Accepting new patients

Locations

2102 N Country Club Rd
Ste 4
Tucson, AZ 85716
Phone (520) 325-6633

1601 N Tucson Blvd
Ste 21
Tucson, AZ 85716
Phone (520) 325-6633

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1225139850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 21",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163407",
            "telephone_number": "520-325-6633",
            "fax_number": "520-325-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N COUNTRY CLUB RD",
            "address_2": "SUITE 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162831",
            "telephone_number": "520-325-6633",
            "fax_number": "520-325-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-BARILLAS",
        "first_name": "HECTOR",
        "middle_name": "J.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122771",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.