Individual provider Active NPI

Debra J Archuleta, PHD

  • Health Psychologist
  • San Antonio, TX
National Provider Identifier
1720274186
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Practice address
8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217
Phone
(210) 202-0100
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X Primary

Addresses

Primary practice location

8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217

Mailing address

8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217
Phone (210) 202-0100

Other practice location 1

8800 Village Dr Ste 209
San Antonio, TX 78217-5420
Phone (210) 202-0100

Other practice location 2

3851 Roger Brooke Dr
Ramona Montgomery, Chief, Credentials Service
Fort Sam Houston, TX 78234-4501
Phone (210) 916-1600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180530002090 TX Practitioner - Clinical Psychologist 6800151507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8626 Tesoro Dr
Suite 490
San Antonio, TX 78217-6217
Phone (210) 202-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33976TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpsych Consultants, PLLC CurrentSince May 7, 2018 Accepting new patients

Locations

20770 US Highway 281 N
Ste 108151
San Antonio, TX 78258
Phone (210) 410-5346

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1720274186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 490",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-202-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 490",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-202-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Village Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175420",
            "country_code": "US",
            "telephone_number": "210-202-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "Ramona Montgomery, Chief, Credentials Service",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.