Psyc Masters PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PSYC MASTERS PLLC

Practice address

4900 Cattle LN
El Paso, TX 79934-2835

Phone

(915) 487-6828

Fax

(915) 233-2989

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Paola M Moreno-Wazlavek, LCSW, PHDNPI 1982914941

Title

Chief of Behavioral Health Services

Phone

(915) 487-6828

Specialties & licenses 2

Addresses

Practitioners 1

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

• Paola Mercedes Moreno Wazlavek, LCSW

  • Clinical Social Worker
  • El Paso, TX
  • NPI 1982914941
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1952181224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CATTLE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799342835",
            "telephone_number": "915-487-6828",
            "fax_number": "915-233-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CATTLE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799342835",
            "telephone_number": "915-487-6828",
            "fax_number": "915-233-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYC MASTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "MORENO-WAZLAVEK",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OF BEHAVIORAL HEALTH SERVICES",
        "authorized_official_telephone_number": "915-487-6828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Estelle Provine
• Provision Home Care Agency LLC (Provision Home Care)
• Theresa M. Prudencio, OTR
• Yessenia Marie Pruett, LCSW
• Rebecca Pruitt
• Psychiatric Health Services, P.a.
• Psychiatric Professionals of El Paso PA
• PT Home Services of San Antonio, Inc.
• PT OT Connect (Kinetic Therapy Consultants)
• Pueblo de Salud Home Health Services LLC (Advanced Healthcare)

• Clinical Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.