NPIMap

Organization Active NPI

Wellmind, PLLC

  • Clinical Psychologist
  • El Paso, TX
National Provider Identifier
1477032480
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WELLMIND, PLLC
Practice address
11163 La Quinta PL Ste B100
El Paso, TX 79936-5258
Phone
(915) 201-2606
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Temperance L Cervantes, PHDNPI 1518369354
Title
Clinical Psychologist/Owner
Phone
(915) 201-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

11163 La Quinta PL Ste B100
El Paso, TX 79936-5258

Mailing address

11163 La Quinta PL Ste B100
El Paso, TX 79936-5258
Phone (915) 201-2606

Other practice location 1

600 Sunland Park Dr Ste 4-400
El Paso, TX 79912-5134
Phone (915) 201-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190108001268 TX Part B Supplier - Clinic/Group Practice 2062758378 Receives reassigned benefits from 6 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1316 N Yarbrough Dr
Ste 2B
El Paso, TX 79925
Phone (915) 201-2606

600 Sunland Park Dr
Ste 4-400
El Paso, TX 79912
Phone (915) 201-2606

11163 La Quinta Pl
Ste B100
El Paso, TX 79936
Phone (915) 201-2606

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1477032480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL STE B100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365258",
            "telephone_number": "915-201-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL STE B100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365258",
            "telephone_number": "915-201-2606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Sunland Park Dr Ste 4-400",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799125134",
            "country_code": "US",
            "telephone_number": "915-201-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLMIND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "TEMPERANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "915-201-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.