Individual provider Active NPI

Jean R Joseph-Vanderpool, M.D.

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1659451565
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H8699 Issued in TX
Practice address
6028 Surety Dr
El Paso, TX 79905-2018
Phone
(915) 544-3500
Fax
(915) 532-4433
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H8699 TX Primary

Addresses

Primary practice location

6028 Surety Dr
El Paso, TX 79905-2018

Mailing address

6028 Surety Dr
Building 13
El Paso, TX 79905-7934
Phone (915) 544-3500

Other practice location 1

500 E Schuster Ave Bldg A
El Paso, TX 79902-4248
Phone (915) 544-3500 ext. 207

Other practice location 2

1219 Barranca Dr
El Paso, TX 79935-4601
Phone (915) 544-3500 ext. 207

Other identifiers 7

IdentifierTypeStateIssuer
085616302OtherTXTPI MEDICAID
2084P0800XOtherTAXONOMY PSYCHIATRY
085616302MedicaidTX
251B00000XOtherTAXONOMY CASE MANAGEMENT
193200000XOtherTAXONOMY MULTISPECIALTY
130334903MedicaidTX
193400000XOtherTAXONOMY SINGLE SPECIALTY

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000320 TX Practitioner - PsychiatryPractitioner - General PracticePractitioner - Geriatric Psychiatry 7719930981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice, Geriatric Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunwest Behavioral Associates PAGroup PAC ID 9931273919, 6 clinicians

Practice addresses (Care Compare)

1219 Barranca Dr
El Paso, TX 79935-4601
Phone (915) 779-5600

500 E Schuster Ave
BLDG a
El Paso, TX 79902-4248
Phone (915) 544-3500

6028 Surety Dr
El Paso, TX 79905-2018
Phone (915) 544-3500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunwest Behavioral Associates PA Psychiatry CurrentSince Jul 1, 1999 Accepting new patients
Sunwest Behavioral Health Organization, LLC Psychiatry Past Accepting new patients
Amanecer Psychological Services Past Accepting new patients
Amanecer Psychological Services Past Accepting new patients
Sunwest Sleep Center, PA Past Accepting new patients
Therafunction Pediatric Therapy Services PastSince Oct 13, 2024 Accepting new patients

Locations

1219 Barranca Dr
El Paso, TX 79935
Phone (915) 779-5600

6028 Surety Dr
El Paso, TX 79905
Phone (915) 771-8523

10501 Gateway Blvd W
Bldg 13
El Paso, TX 79925
Phone (915) 544-2350

500 E Schuster Ave
#A
El Paso, TX 79902
Phone 9155443500 ext. 207

6028 Surety Dr
Bldg 13
El Paso, TX 79905

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1659451565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 SURETY DR",
            "address_2": "BUILDING 13",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799057934",
            "telephone_number": "915-544-3500",
            "fax_number": "915-532-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 SURETY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052018",
            "telephone_number": "915-544-3500",
            "fax_number": "915-532-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Schuster Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024248",
            "country_code": "US",
            "telephone_number": "915-544-3500 x207",
            "fax_number": "915-532-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 Barranca Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799354601",
            "country_code": "US",
            "telephone_number": "915-544-3500 x207",
            "fax_number": "915-532-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH-VANDERPOOL",
        "first_name": "JEAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H8699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI MEDICAID",
            "identifier": "085616302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY PSYCHIATRY",
            "identifier": "2084P0800X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085616302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CASE MANAGEMENT",
            "identifier": "251B00000X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY MULTISPECIALTY",
            "identifier": "193200000X",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130334903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY SINGLE SPECIALTY",
            "identifier": "193400000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.