Individual provider Active NPI

Benjamin Aguilar, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1306919840
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33718 Issued in TX
Practice address
10350 Bandera Rd
San Antonio, TX 78250-5615
Phone
(210) 450-2140
NPI assigned
Nov 15, 2006
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33718 TX Primary
Clinical Psychologist 103TC0700X PSY19797 CA
Clinical Psychologist 103TC0700X 33718 TX

Addresses

Primary practice location

10350 Bandera Rd
San Antonio, TX 78250-5615

Mailing address

10350 Bandera Rd
San Antonio, TX 78250-5615
Phone (210) 450-2140

Other practice location 1

1940 Carswell Ave Bldg 7002
Jbsa Lackland, TX 78236-5514
Phone (210) 292-1602

Other practice location 2

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 292-1602

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
I20090416000699 TX Practitioner - Clinical Psychologist 4789731357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reliance Behavioral Health PCGroup PAC ID 9335110600, 7 clinicians

Practice addresses (Care Compare)

13014 Kings Forest St
San Antonio, TX 78230-1515
Phone (210) 744-5863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY19797CAMDClinical Psychologist
33718TXMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Behavioral Health, P.C. Clinical CurrentSince Jun 16, 2023 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2022 Accepting new patients
Stonebridge Behavioral Health, P.a. Clinical CurrentSince Oct 15, 2024 Accepting new patients
RGV Senior Care, PC Clinical Past Accepting new patients
Pinkerman & Gonzalez Psychological Clinical Past Accepting new patients

Locations

3305 81st St
Ste H
Lubbock, TX 79423
Phone (806) 748-6400

1010 Central Pkwy S
San Antonio, TX 78232
Phone (210) 255-1499

10350 Bandera Rd
Ste 140
San Antonio, TX 78250
Phone (210) 450-6530

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Organizations & group practices 6

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1306919840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505615",
            "telephone_number": "210-450-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505615",
            "telephone_number": "210-450-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Carswell Ave Bldg 7002",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365514",
            "country_code": "US",
            "telephone_number": "210-292-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-292-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33718",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19797",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.