Organization Active NPI

KGR Psychological Health Services PLLC

  • Psychologist
  • McAllen, TX
National Provider Identifier
1689317885
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
KGR PSYCHOLOGICAL HEALTH SERVICES PLLC
Practice address
110 E Savannah Ave BLDG B201
McAllen, TX 78503-1291
Phone
(956) 627-3660
NPI assigned
Apr 15, 2022
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Kasandra Garcia Reyna, PHDNPI 1508455924
Title
Licensed Psychologist
Phone
(956) 207-1154

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

110 E Savannah Ave BLDG B201
McAllen, TX 78503-1291

Mailing address

304 N Flores St
Rio Grande City, TX 78582-3853

Other practice location 1

304 N Flores St
Rio Grande City, TX 78582-3853
Phone (956) 240-6306

Other identifiers 1

IdentifierTypeStateIssuer
438753201MedicaidTX

National Provider Directory

National Provider Directory

Locations

304 N Flores St
Rio Grande City, TX 78582
Phone (956) 240-6306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1689317885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N FLORES ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SAVANNAH AVE BLDG B201",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031291",
            "telephone_number": "956-627-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 N Flores St",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785823853",
            "country_code": "US",
            "telephone_number": "956-240-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KGR PSYCHOLOGICAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA REYNA",
        "authorized_official_first_name": "KASANDRA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "956-207-1154",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438753201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.