Organization Active NPI

Cuellar & Cuellar, P.L.L.C.

  • Psychologist
  • Alice, TX
National Provider Identifier
1619202728
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33981 Issued in TX
Legal business name
CUELLAR & CUELLAR, P.L.L.C.
Practice address
1284A Farm Rd 665
Alice, TX 78332
Phone
(361) 779-1156
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Rafael Cuellar Jr., PH.D.NPI 1912151218
Title
Psychologist/Owner
Phone
(361) 779-1156

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 33981 TX Primary

Addresses

Primary practice location

1284A Farm Rd 665
Alice, TX 78332

Mailing address

1284A Farm Rd 665
Alice, TX 78332
Phone (361) 779-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000453 TX Part B Supplier - Clinic/Group Practice 6406981877 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, TX; Robstown, TX; Mathis, TX; Kingsville, TX; Hebbronville, TX; Corpus Christi, TX; Falfurrias, TX; Alice, TX…

National Provider Directory

National Provider Directory

Locations

171 Medical Center Blvd
Unit E
Alice, TX 78332
Phone (361) 664-4151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1619202728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284A FARM RD 665",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-779-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284A FARM RD 665",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "telephone_number": "361-779-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUELLAR & CUELLAR, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "CUELLAR",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "361-779-1156",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.

Verify at the official NPI Registry.