Individual provider Active NPI

Juan Carlos Contreras, PH.D.

  • Clinical Psychologist
  • El Paso, TX
National Provider Identifier
1700910742
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23433 Issued in CA
Practice address
1310 Montana Ave
El Paso, TX 79902-5578
Phone
(915) 525-3425
Fax
(915) 209-3077
NPI assigned
Mar 14, 2007
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2022-0136 NM
Clinical Psychologist 103TC0700X 37928 TX
Clinical Psychologist 103TC0700X PSY23433 CA Primary

Addresses

Primary practice location

1310 Montana Ave
El Paso, TX 79902-5578

Mailing address

1310 Montana Ave
El Paso, TX 79902-5578
Phone (915) 525-3425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101012001208 CA Practitioner - Clinical Psychologist 6800088618 Practice locations: Los Angeles, CA
I20180822003626 TX Practitioner - Clinical Psychologist 6800088618 Practice locations: El Paso, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-0136NMMDPsychologist
PSY23433CAMDClinical Psychologist
37928TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun City Psychological Services CurrentSince May 7, 2024 Accepting new patients
Reed Group Texas, PLLC, Dba Reed & Associates PastSince Apr 9, 2024 Accepting new patients

Locations

1310 Montana Ave
El Paso, TX 79902
Phone (915) 525-3425

Organizations & group practices 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1700910742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025578",
            "telephone_number": "915-525-3425",
            "fax_number": "915-209-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025578",
            "telephone_number": "915-525-3425",
            "fax_number": "915-209-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "2022-0136",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37928",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.