Active NPI
Manuel E Varela, PSYD
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1427681469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38473
- Practice address
- 7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803 - Phone
- (305) 747-4609
- NPI assigned
- Feb 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10683 | FL | |
| Clinical Psychologist | 103TC0700X | 38473 | TX | Primary |
Addresses
Primary practice location
7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Mailing address
7272 Wurzbach Rd
San Antonio, TX 78240-4801
Phone (305) 747-4609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38473 | Other | TX | LICENSE |
| PY10683 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.17 of 100
- Quality
- 83.48
- Improvement activities
- 40
- Cost
- 67.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10683 | FL | MD | Clinical Psychologist |
| 38473 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Clinical | Current | Accepting new patients |
| Cotler Healthcare & Development Inc. | Clinical | Current | Accepting new patients |
| Deer Oaks Mental Health Associates PC | Clinical | Past | Accepting new patients |
Locations
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
Clinical
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1427681469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404801",
"telephone_number": "305-747-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD STE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404803",
"telephone_number": "305-747-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARELA",
"first_name": "MANUEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-18",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "10683",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "38473",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PY10683",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.