Organization Active NPI

International and Multicultural Psychological Services, P. C.

  • Clinical Psychologist
  • McAllen, TX
National Provider Identifier
1366517914
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
TX25118 Issued in TX
Legal business name
INTERNATIONAL AND MULTICULTURAL PSYCHOLOGICAL SERVICES, P. C.
Practice address
507 W. Nolana Ave.
McAllen, TX 78504-3029
Phone
(956) 688-6229
Fax
(956) 688-6218
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Mary Elizabeth Deferriere, PHD
Title
President International and Multicu
Phone
(956) 688-6229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X TX25118 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
156561601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630001004 TX Part B Supplier - Clinic/Group Practice 8325025000 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

1418 Beech Ave
Ste 104
McAllen, TX 78501
Phone (956) 688-6229

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1366517914",
    "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": {
        "organization_name": "INTERNATIONAL AND MULTICULTURAL PSYCHOLOGICAL SERVICES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "DEFERRIERE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT INTERNATIONAL AND MULTICU",
        "authorized_official_telephone_number": "956-688-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "TX25118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156561601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.