Correctional Rehabilitation Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22796 Issued in TX

Legal business name

CORRECTIONAL REHABILITATION SERVICES

Practice address

4833 Spicewood Springs Rd Ste 101
Austin, TX 78759-8436

Phone

(512) 708-0502

Fax

(512) 708-0557

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Luke Ferrara, PH.D.

Title

Psychologist

Phone

(512) 708-0502

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Nydia Yaritza Camacho Ortiz, PH. D.

  • Clinical Psychologist
  • Fort Worth, TX
  • NPI 1265602445
  NPD (past)
• Ivonne Ocasio, PHD

  • Clinical Psychologist
  • Austin, TX
  • NPI 1518273739
  NPD (past)

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1407000508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 NUECES STREET",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-708-0502",
            "fax_number": "512-708-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 SPICEWOOD SPRINGS RD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598436",
            "telephone_number": "512-708-0502",
            "fax_number": "512-708-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-708-0502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Catherine Correa, DPT
• Felicia Ann Correa, LPC
• Kandice Correa
• Mark Correa, M.D.
• Correctional Dialysis Services LLC
• Diana Robinson Correia, AGACNP
• Lilli Ruth Correll, LPC
• Elena Corsair, OTD/R
• Erick Cortes Jaramillo
• Tiago Cortes Rodrigues

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.