Active NPI
Elias Barghash, PSYD
- Clinical Psychologist
- Waco, TX
National Provider Identifier
1497285043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38027
- Practice address
- 2304 Marketplace Dr
Waco, TX 76711-2467 - Phone
- (254) 202-7300
- NPI assigned
- Jun 15, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38027 | TX | Primary |
Addresses
Primary practice location
2304 Marketplace Dr
Waco, TX 76711-2467
Mailing address
4242 Medical Dr Ste 6300
San Antonio, TX 78229-5606
Phone (210) 614-8400
Other practice location 1
4242 Medical Dr Ste 6300
San Antonio, TX 78229-5606
Phone (210) 614-8400
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 |
|---|---|---|---|
| 38027 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1497285043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4242 MEDICAL DR STE 6300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295606",
"telephone_number": "210-614-8400",
"fax_number": "210-614-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 MARKETPLACE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767112467",
"telephone_number": "254-202-7300"
}
],
"practiceLocations": [
{
"address_1": "4242 Medical Dr Ste 6300",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782295606",
"country_code": "US",
"telephone_number": "210-614-8400",
"fax_number": "210-614-8165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARGHASH",
"first_name": "ELIAS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.