Jacquelin Wren Greuling, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22931 Issued in TX

Practice address

3115 Loop 306
Suite 110
San Angelo, TX 76904-5983

Phone

(325) 942-1952

Fax

(325) 942-1517

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacquelin Clymer Wren Former name

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, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deer Oaks Geriatric Services P CGroup PAC ID 9234034075, 45 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as group

Quality

83.48

Improvement activities

40

Cost

67.52

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.

• Deer Oaks Geriatric Services P C

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment Care Compare group NPD
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1689626335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 LOOP 306",
            "address_2": "SUITE 110",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045983",
            "telephone_number": "325-942-1952",
            "fax_number": "325-942-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 LOOP 306",
            "address_2": "SUITE 110",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045983",
            "telephone_number": "325-942-1952",
            "fax_number": "325-942-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREULING",
        "first_name": "JACQUELIN",
        "middle_name": "WREN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179188102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELIN",
            "last_name": "WREN",
            "middle_name": "CLYMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Ann Greene, DPT, OCS, CMPT
• Lori E Greenhaw
• Royanne Mattick Greenwood, LD
• Charles E. Greeson, M.D.
• Stacie A Gregg, APRN-CNP
• Donna Lael Griffin, LVN
• Brianna Lynn Griffith
• McKenzi Griffith
• Edward L Grimes, O.D.
• Samantha Grissom

• Clinical Psychologist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.