Active NPI
Jose G. Vega, PHD
- Psychologist
- Lufkin, TX
National Provider Identifier
1952330441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38725
- Practice address
- 1522 W Frank Ave
Lufkin, TX 75904-3334 - Phone
- (719) 544-8520
- Fax
- (719) 544-8442
- NPI assigned
- Jun 30, 2006
- Last updated
- May 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 38725 | TX | |
| Psychologist | 103T00000X | 38725 | TX | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 38725 | TX |
Addresses
Primary practice location
1522 W Frank Ave
Lufkin, TX 75904-3334
Mailing address
227 Spring Branch St
Lufkin, TX 75904-7540
Phone (719) 671-7441
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 |
|---|---|---|---|
| 38725 | TX | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Harbors, Inc. | Past | Accepting new patients | |
| Burke Center | Past | Accepting new patients | |
| Carlos Rodriguez, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Developmental Disabilities Clinic/Center
- Lufkin, TX
- NPI 1164572772
-
- Clinical Psychologist
- Pueblo, CO
- NPI 1114009198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1952330441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 SPRING BRANCH ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759047540",
"telephone_number": "719-671-7441",
"fax_number": "719-544-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043334",
"telephone_number": "719-544-8520",
"fax_number": "719-544-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "JOSE",
"middle_name": "G.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "38725",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38725",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TX",
"license": "38725",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
- Jaimee Gandy Varner, APRN
- Varughese Puthenparampil Samuel
- Maria Loreto Vasquez
- Mariela D Vasquez, MD
- Vcphcs Xxii, LLC (BHG Lufkin Treatment Center)
- Krishna Vegiraju, MD
- Sujatha Vegiraju, RD
- Timothy J Veillon, O.D.
- Venture I, Inc. (A Caring Touch Home Health Services & Hospice Care)
- Venture I, Inc. (A Caring Touch Home Health Services & Hospice Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.