Individual provider Active NPI

Arthur Robert Cardona, PHD

  • Clinical Psychologist
  • Wichita Falls, TX
National Provider Identifier
1588025340
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34800 Issued in TX
Practice address
1800 Rose St
Wichita Falls, TX 76301-4219
Phone
(940) 723-4488
Fax
(940) 723-4490
NPI assigned
Mar 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34800 TX Primary

Addresses

Primary practice location

1800 Rose St
Wichita Falls, TX 76301-4219

Mailing address

1808 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 723-4488

Other identifiers 1

IdentifierTypeStateIssuer
19267086OtherTXDRIVER LICENSE

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
I20160412000361 TX Practitioner - Clinical Psychologist 7416255203 Reassigns benefits to 1 organization
Practice locations: Wichita Falls, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2525 Kell Blvd
Suite 405
Wichita Falls, TX 76308-1060
Phone (940) 249-0081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34800TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Farabee Centers CurrentSince Aug 16, 2016 Accepting new patients

Locations

1000 Brook Ave
Wichita Falls, TX 76301
Phone (940) 397-3100

500 Broad St
Wichita Falls, TX 76301
Phone (940) 397-3300

Organizations & group practices 1

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1588025340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-723-4488",
            "fax_number": "940-723-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-723-4488",
            "fax_number": "940-723-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "ARTHUR",
        "middle_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "19267086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.