Active NPI
Maribel R Hinojosa, PHD
- Clinical Psychologist
- College Station, TX
National Provider Identifier
1821158353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33162
- Practice address
- 750 William D Fitch Pkwy Ste 520
College Station, TX 77845-7494 - Phone
- (979) 335-9199
- Fax
- (979) 232-2176
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5038 | TX | |
| Clinical Psychologist | 103TC0700X | 33162 | TX | Primary |
Addresses
Primary practice location
750 William D Fitch Pkwy Ste 520
College Station, TX 77845-7494
Mailing address
2172 Chestnut Oak Cir
College Station, TX 77845-4168
Phone (979) 324-7931
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083QY | Other | TX | BC/BS OF TEXAS |
| 149909703 | Medicaid | TX | |
| 612701 | Other | TX | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
750 William D Fitch Pkwy
Suite 520
College Station, TX 77845-7494
Phone (979) 335-9199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5038 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Psychological PLLC | Clinical | Current | Accepting new patients |
| St. Thomas Medical Group PLLC | Past | Accepting new patients | |
| Pinkerman & Gonzalez Psychological | Clinical | Past | Accepting new patients |
| RGV Senior Care, PC | Clinical | Past | Accepting new patients |
Locations
750 William D Fitch Pkwy
Ste 520
College Station, TX 77845
Phone (979) 335-9199
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBFIAA
Organizations & group practices 4
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.
-
- Clinical Psychologist
- College Station, TX
- NPI 1033753660
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- Clinical Psychologist
- Edinburg, TX
- NPI 1841388030
-
- Clinical Psychologist
- Edinburg, TX
- NPI 1124116322
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1467472258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1821158353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 CHESTNUT OAK CIR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454168",
"telephone_number": "979-324-7931",
"fax_number": "979-232-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 WILLIAM D FITCH PKWY STE 520",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778457494",
"telephone_number": "979-335-9199",
"fax_number": "979-232-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINOJOSA",
"first_name": "MARIBEL",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5038",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "0083QY",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149909703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "612701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.