Individual provider Active NPI

Mary Elizabeth De Ferreire, PH.D.

  • Clinical Psychologist
  • McAllen, TX
National Provider Identifier
1306021555
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25118 Issued in TX
Practice address
507 W. Nolana Ave.
McAllen, TX 78504-3029
Phone
(956) 688-6229
Fax
(956) 688-6218
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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 25118 TX Primary

Addresses

Primary practice location

507 W. Nolana Ave.
McAllen, TX 78504-3029

Mailing address

507 W. Nolana Ave.
McAllen, TX 78504-3029
Phone (956) 688-6229

Other identifiers 1

IdentifierTypeStateIssuer
P000T94L2MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140411000705 TX Practitioner - Clinical Psychologist 2961489646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25118TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
International and Multicultural Psychological Services, P. C. Clinical CurrentSince May 1, 2000 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Deer Oaks Geriatric Services P C Clinical PastSince Jan 23, 2023 Accepting new patients

Locations

507 W Nolana Ave
McAllen, TX 78504
Phone (956) 688-6229

Organizations & group practices 3

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1306021555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W. NOLANA AVE.",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043029",
            "telephone_number": "956-688-6229",
            "fax_number": "956-688-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W. NOLANA AVE.",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043029",
            "telephone_number": "956-688-6229",
            "fax_number": "956-688-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FERREIRE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000T94L2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.