Organization Active NPI

Brownsville Psychological Center, PLLC

  • Clinical Psychologist
  • Brownsville, TX
National Provider Identifier
1982202461
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BROWNSVILLE PSYCHOLOGICAL CENTER, PLLC
Practice address
302 Lorenaly Dr Ste E
Brownsville, TX 78526-4332
Phone
(956) 484-2972
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Dr. Elizabeth G. Tamez, PSYDNPI 1780917955
Title
Owner
Phone
(956) 484-2972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

302 Lorenaly Dr Ste E
Brownsville, TX 78526-4332

Mailing address

2799 Normandy St
Brownsville, TX 78520-3757
Phone (956) 484-2972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130001789 TX Part B Supplier - Clinic/Group Practice 6709297575 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

302 Lorenaly Dr
Ste E
Brownsville, TX 78526
Phone (956) 350-2220

1080 E Los Ebanos Blvd
#B
Brownsville, TX 78520
Phone (956) 484-2972

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1982202461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 NORMANDY ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785203757",
            "telephone_number": "956-484-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 LORENALY DR STE E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264332",
            "telephone_number": "956-484-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSVILLE PSYCHOLOGICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "TAMEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-484-2972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.