Alicia San Miguel, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39850 Issued in TX

Practice address

2450 Fondren Rd Ste 312
Houston, TX 77063-2323

Phone

(713) 789-7560

Fax

(713) 789-7351

NPI assigned

Mar 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CPF SJN Outpatient LLCGroup PAC ID 0749637163, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• CPF SJN Outpatient, LLC

  dba Strive Rehabilitation Partners

  • Clinical Psychologist
  • Houston, TX
  • NPI 1730830001
  Medicare reassignment Care Compare group
• Shriners Hospitals for Children

  • Pediatric Surgery Physician
  • Galveston, TX
  • NPI 1851631709
  Medicare reassignment NPD
• The Gulf Coast Center

  • Psychiatry Physician
  • League City, TX
  • NPI 1245285899
  Medicare reassignment NPD
• Shriners Hospitals for Children

  dba Shriners Children's Hawaii

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1669176053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Market St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775502725",
            "country_code": "US",
            "telephone_number": "409-770-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN MIGUEL",
        "first_name": "ALICIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Gabriel Primary Care and Associates LLC
• San Jacinto Clinic & Rehabilitation LLC
• San Jose Clinic
• Stacy San Lucas, AGACNP
• San Martin Nursing Services, LLC
• Lisa F San Miguel, LMSW
• Thalia Ruby San Roman
• San Simeon EMS Inc
• San Transportation,LLC
• Qaisra Sana, BACHELER'S

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.