NPIMap

Organization Active NPI

Rio Grande Psychiatric Associates PA

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1780929489
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P4301 Issued in TX
Legal business name
RIO GRANDE PSYCHIATRIC ASSOCIATES PA
Practice address
7601 Fannin St
Houston, TX 77054
Phone
(713) 796-2273
Fax
(713) 795-5375
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Mrs. Nora Choubkha, MDNPI 1649470931
Title
Owner MD
Phone
(915) 422-9383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X P4301 TX Primary

Addresses

Primary practice location

7601 Fannin St
Houston, TX 77054

Mailing address

4849 N Mesa St
Ste 201
El Paso, TX 79912-5916
Phone (915) 351-6600

Other identifiers 1

IdentifierTypeStateIssuer
330138401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130401000050 TX Part B Supplier - Clinic/Group Practice 1759526452 Receives reassigned benefits from 5 practitioners
Practice locations: El Paso, TX; Harlingen, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

10737 Gateway Blvd W
Ste 204
El Paso, TX 79935
Phone (252) 626-7424

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1780929489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST",
            "address_2": "STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125916",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-796-2273",
            "fax_number": "713-795-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE PSYCHIATRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "CHOUBKHA",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "915-422-9383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P4301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330138401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.