Active NPI
Jorge Alberto Marquez, PH.D.
- Clinical Psychologist
- El Paso, TX
National Provider Identifier
1669723912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36830
- Practice address
- 500 W University Ave
El Paso, TX 79968-1705 - Phone
- (915) 747-5302
- NPI assigned
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36830 | TX | Primary |
Addresses
Primary practice location
500 W University Ave
El Paso, TX 79968-1705
Mailing address
500 W University Ave
El Paso, TX 79968-8900
Phone (915) 747-5302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36830 | TX | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1669723912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W UNIVERSITY AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799688900",
"telephone_number": "915-747-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W UNIVERSITY AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799681705",
"telephone_number": "915-747-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.