NPIMap

Organization Active NPI

Javier Carrillo, PHD. PLLC

  • Clinical Psychologist
  • El Paso, TX
National Provider Identifier
1407467780
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JAVIER CARRILLO, PHD. PLLC
Practice address
2300 George Dieter Dr
El Paso, TX 79936-3963
Phone
(915) 491-0707
NPI assigned
Aug 11, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Javier Carrillo, PHDNPI 1750327649
Title
Owner/Provider
Phone
(915) 491-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2300 George Dieter Dr
El Paso, TX 79936-3963

Mailing address

2300 George Dieter Dr
El Paso, TX 79936-3963
Phone (915) 491-0707

National Provider Directory

National Provider Directory

Locations

8900 Viscount Blvd
Ste An
El Paso, TX 79925

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1407467780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363963",
            "telephone_number": "915-491-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363963",
            "telephone_number": "915-491-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER CARRILLO, PHD. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "915-491-0707",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.