Individual provider Active NPI

Jose G. Vega, PHD

  • Psychologist
  • Lufkin, TX
National Provider Identifier
1952330441
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38725 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
38725TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Harbors, Inc. Past Accepting new patients
Burke Center PastSince Feb 22, 2023 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.

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

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.

Verify at the official NPI Registry.