Mario Farin Dulay Jr., PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

33828 Issued in TX

Practice address

6560 Fannin St Ste 900
Houston, TX 77030-2726

Phone

(713) 441-3800

NPI assigned

May 27, 2009

Last updated

Mar 17, 2018By the provider in NPPES

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

Other identifiers 6

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

Specialty

Clinical Psychologist

Education

University of Cincinnati College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdulay27881@directhoustonmethodist.org

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.

• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Houston Methodist

  • Nurse Practitioner
  • Houston, TX
  • NPI 1992178693
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841425469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302726",
            "telephone_number": "713-441-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302726",
            "telephone_number": "713-441-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St",
            "address_2": "Suite 944",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302761",
            "country_code": "US",
            "telephone_number": "713-441-8183",
            "fax_number": "713-793-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6560 Fannin St",
            "address_2": "Suite 944",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302761",
            "country_code": "US",
            "telephone_number": "713-441-8183",
            "fax_number": "713-793-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DULAY",
        "first_name": "MARIO",
        "middle_name": "FARIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88802A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1841425469",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204512201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204512203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204512202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01363007",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Dukes, M.D.
• Nilka M. Dulan, CNM
• Donald F Dulaney, NP
• Joseph H. Dulaney, D.O.
• Shyreen Dulanya, PHARMD
• Dulce in-Home Assistance Inc (Prestigious Healthcare Services)
• Dulivuto Corp Inc (Friendswood Health Mart Pharmacy)
• Dulivuto Corp Inc (Friendswood Health Mart Pharmacy)
• Dwayne Scott Dull, DDS
• Alanna Dumas

• Clinical Neuropsychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.