Individual provider Active NPI

Kasandra Garcia Reyna, PHD

  • Psychologist
  • McAllen, TX
National Provider Identifier
1508455924
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38135 Issued in TX
Practice address
110 E Savannah Ave BLDG B201
McAllen, TX 78503-1291
Phone
(956) 627-3660
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 38135 TX Primary

Addresses

Primary practice location

110 E Savannah Ave BLDG B201
McAllen, TX 78503-1291

Mailing address

110 E Savannah Ave BLDG B201
McAllen, TX 78503-1291

Other identifiers 2

IdentifierTypeStateIssuer
419612301MedicaidTX
419612302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204000245 TX Practitioner - Clinical Psychologist 5193139038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
KGR Psychological Health Services PLLC Psychologist Current Accepting new patients
Velox Psychiatric Management Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Mireles Psychological Health Serv Psychologist CurrentSince Jan 1, 2021 Accepting new patients

Locations

13625 Beechnut St
Ste C
Houston, TX 77083
Phone (346) 631-2266

9722 Gaston Rd
Ste 150103
Katy, TX 77494

110 E Savannah Ave
Bldg B201
McAllen, TX 78503
Phone (956) 627-3660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1508455924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG B201",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG B201",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031291",
            "telephone_number": "956-627-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA REYNA",
        "first_name": "KASANDRA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419612301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419612302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.