Active NPI
Larlo Behavioral Services, PLLC
- Clinical Neuropsychologist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- LARLO BEHAVIORAL SERVICES, PLLC
- Practice address
- 18834 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-4177 - Phone
- (210) 468-7476
- NPI assigned
- Oct 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Lopez
- Title
- PSYD
- Phone
- (915) 412-8751
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary | ||
| Clinical Psychologist | 103TC0700X |
Addresses
Primary practice location
18834 Stone Oak Pkwy Ste 104
San Antonio, TX 78258-4177
Mailing address
210 E Sonterra Blvd Apt 624
San Antonio, TX 78258-3955
Phone (915) 242-9378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2224139 | Other | TX | COMPSYCH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@larlobehavioral.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
444 Executive Center Blvd
Ste 126
El Paso, TX 79902
Phone (915) 266-9797
225 E Sonterra Blvd
Ste 111
San Antonio, TX 78258
Phone (210) 993-1876
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- El Paso, TX
- NPI 1548747728
-
- Student in an Organized Health Care Education/Training Program
- El Paso, TX
- NPI 1568043867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1497397236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E SONTERRA BLVD APT 624",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583955",
"telephone_number": "915-242-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18834 STONE OAK PKWY STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584177",
"telephone_number": "210-468-7476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARLO BEHAVIORAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-14",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "PSYD",
"authorized_official_telephone_number": "915-412-8751"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "2224139",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@larlobehavioral.com",
"affiliation": "N",
"address_1": "18834 Stone Oak Pkwy Ste 104",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782584177",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 25, 2022; 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.