Statera Clinical and Forensic Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

STATERA CLINICAL AND FORENSIC SERVICES, PLLC

Practice address

1002 Taylor St
Brownsville, TX 78520-7108

Phone

(956) 320-7036

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Yasisca Pujols, PHD

Title

PHD/President

Phone

(956) 320-7036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1578186136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 TAYLOR ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207108",
            "telephone_number": "956-320-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TAYLOR ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207108",
            "telephone_number": "956-320-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATERA CLINICAL AND FORENSIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "PUJOLS",
        "authorized_official_first_name": "YASISCA",
        "authorized_official_title_or_position": "PHD/PRESIDENT",
        "authorized_official_telephone_number": "956-320-7036",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.