Paul T Ingmundson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22978 Issued in TX

Practice address

2128 Babcock Rd BLDG 1
San Antonio, TX 78229-4411

Phone

(210) 340-1141

Fax

(210) 344-3862

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1700986825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 BABCOCK RD BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294411",
            "telephone_number": "210-340-1141",
            "fax_number": "210-344-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 BABCOCK RD BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294411",
            "telephone_number": "210-340-1141",
            "fax_number": "210-344-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGMUNDSON",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Laird Ingham Jr., MD
• Edward Joseph Ingle
• Liudmyla Oleksiyivna Ingle, FNP
• Rosalinda Ingle, LVN
• Amanda L. Inglish, APRN, FNP-C
• Ingram Assisted Living LLC (Ingram Assisted Living)
• Ingram Hills Dental, PLLC
• Ingram Mall Dental Center, P.L.L.C.
• Ingram Mall FDC PA
• Ingram Mall Fdcpa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.