Active NPI
Gabriel Holguin, PH.D.
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1952319998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32516
- Practice address
- 17890 Blanco Rd Ste 303
San Antonio, TX 78232-1031 - Phone
- (210) 393-6230
- Fax
- (830) 438-5040
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32516 | TX | Primary |
Addresses
Primary practice location
17890 Blanco Rd Ste 303
San Antonio, TX 78232-1031
Mailing address
25930 Laurel Pass
San Antonio, TX 78260-2472
Phone (210) 885-5320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0062MX | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32516 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952319998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25930 LAUREL PASS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782602472",
"telephone_number": "210-885-5320",
"fax_number": "830-438-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17890 BLANCO RD STE 303",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321031",
"telephone_number": "210-393-6230",
"fax_number": "830-438-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGUIN",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0062MX",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Ainsley Appleby Holeman
- Kevin B Holeman, OT
- Sarah Holevinski, MD
- Marisa Andrea Holguin- Grado, LCSW
- Sarah Elizabeth Holguin-Marquez, DNP, APRN, CPNP-PC
- Melissa Holguin
- Veronica Crystal Holguin, LMSW
- Yolanda Garza Holguin, AUD CCCA
- Holguingrado Clinical Services (Be Seen Center for Emotional Wellness)
- Amber L Holisky, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.