Psychological Associates of South Texas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15089 Issued in TX

Legal business name

PSYCHOLOGICAL ASSOCIATES OF SOUTH TEXAS

Practice address

700 Everhart Rd
Suite H-21
Corpus Christi, TX 78411-1926

Phone

(361) 814-5200

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kandice K Fricke-Smith, LPC

Title

Partner

Phone

(361) 814-0900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kandice K Fricke, LPC-S

  • Professional Counselor
  • Corpus Christi, TX
  • NPI 1942343272
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477762771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EVERHART RD",
            "address_2": "SUITE H-21",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111926",
            "telephone_number": "361-814-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EVERHART RD",
            "address_2": "SUITE H-21",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111926",
            "telephone_number": "361-814-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRICKE-SMITH",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "361-814-0900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15089",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17941401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prtrio Hospice - Rural, Inc
• Gabrielle Pruchno
• Psi Health Care Inc (Rotech)
• Psychiatric Consulting Services
• Psychiatric Specialists of Texas PLLC (Children's Psychiatric Services of South Texas)
• Psychosocial Rehabilitation Services of South Texas
• PT Home Services of San Antonio, Inc.
• Jeffrey Daniel Ptak, MD
• PTMD LP
• Christina Puente-Garcia, LVN

• Professional Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.