Active NPI
Cuellar & Cuellar, P.L.L.C.
- Psychologist
- Alice, TX
National Provider Identifier
1619202728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael Cuellar Jr., PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.