Individual provider Active NPI

Philip Gerard Gasquoine, PH.D.

  • Clinical Neuropsychologist
  • Edinburg, TX
National Provider Identifier
1275542995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
24714 Issued in TX
Practice address
2529 W Trenton Rd
Edinburg, TX 78539-5070
Phone
(956) 994-3880
Fax
(956) 381-3333
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 24714 TX Primary

Addresses

Primary practice location

2529 W Trenton Rd
Edinburg, TX 78539-5070

Mailing address

4009 Lomita St
Edinburg, TX 78541-9479
Phone (361) 888-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24714TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Senior Care, PC Past Accepting new patients
Pinkerman & Gonzalez Psychological Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275542995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 LOMITA ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785419479",
            "telephone_number": "361-888-7999",
            "fax_number": "956-381-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395070",
            "telephone_number": "956-994-3880",
            "fax_number": "956-381-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASQUOINE",
        "first_name": "PHILIP",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "24714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.