Socorro Matias

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

205 Wild Basin Rd Ste 1-305
West Lake Hills, TX 78746-3341

Phone

(737) 471-3700

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1407031404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD STE 3-105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463341",
            "telephone_number": "737-471-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD STE 1-305",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463341",
            "telephone_number": "737-471-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "SOCORRO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Alejandro Martinez, M.D.
• Mary Ann Martinez, M.D.
• Mary Kathleen Bolles
• Kayla Mason, BCBA
• Daniel Brent Masters, DPT
• Brian Matthews, L.M.F.T.
• Rachel Mattis, LPC
• Aaron Vincent Maxfield, LPC
• Grace Sara Nicole Maxwell Tavis, CPHT
• Steven Leonard Maya, PA-C

• Psychologist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.