Active NPI
Rafael Angel Salas, PSYD
- Psychologist
- Gonzales, TX
National Provider Identifier
1487767588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32524
- Practice address
- 228 Saint George St
Gonzales, TX 78629-3910 - Phone
- (830) 672-6511
- Fax
- (830) 672-6430
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32524 | TX | Primary |
Addresses
Primary practice location
228 Saint George St
Gonzales, TX 78629-3910
Mailing address
228 Saint George St
Gonzales, TX 78629-3910
Phone (830) 672-6511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32524 | Other | TX | ST. BD. OF EXAM OF PSY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32524 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487767588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 SAINT GEORGE ST",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293910",
"telephone_number": "830-672-6511",
"fax_number": "830-672-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 SAINT GEORGE ST",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293910",
"telephone_number": "830-672-6511",
"fax_number": "830-672-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "RAFAEL",
"middle_name": "ANGEL",
"name_prefix": "Mr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "32524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST. BD. OF EXAM OF PSY",
"identifier": "32524",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.