Michelle B Viro PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32786 Issued in TX

Legal business name

MICHELLE B VIRO PHD PA

Practice address

916 East Blanco Road
Building 200
Boerne, TX 78006

Phone

(281) 831-9852

Fax

(281) 313-4676

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Michelle B Viro, PHDNPI 1346888112

Title

President

Phone

(281) 831-9852

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michelle Viro, PH.D.

  • Clinical Psychologist
  • Boerne, TX
  • NPI 1346888112
  NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1427158799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LAKEFRONT DRIVE",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "281-831-9852",
            "fax_number": "281-313-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 EAST BLANCO ROAD",
            "address_2": "BUILDING 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "281-831-9852",
            "fax_number": "281-313-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE B VIRO PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "VIRO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-831-9852",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Boerne, TX
• Providers in Boerne, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.