Individual provider Active NPI

Rebecca Cartagena, PHD

  • Psychologist
  • Plano, TX
National Provider Identifier
1770094401
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37090 Issued in TX
Practice address
5055 W Park Blvd Ste 400
Plano, TX 75093-2590
Phone
(631) 897-6405
NPI assigned
Oct 20, 2017
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37090 TX Primary

Addresses

Primary practice location

5055 W Park Blvd Ste 400
Plano, TX 75093-2590

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Other names 1

  • Dr. Rebecca Bauer Former name

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
I20180921000701 TX Practitioner - Clinical Psychologist 6507117058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Star Psychology and Consulting, PLLCGroup PAC ID 7012302466, 5 clinicians

Practice addresses (Care Compare)

5055 W Park Blvd
Suite 400
Plano, TX 75093-2590
Phone (940) 290-2565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37090TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Star Psychology & Consulting, PLLC CurrentSince Jan 1, 2025 Accepting new patients
J. Michael Brennan, M.D., P.a. PastSince Nov 11, 2008 Accepting new patients

Locations

5055 W Park Blvd
Ste 400
Plano, TX 75093
Phone (901) 826-7075

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1770094401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 W PARK BLVD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932590",
            "telephone_number": "631-897-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTAGENA",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BAUER",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.