Active NPI
Manuel Jacob Balderas, PMHNP
- Psychiatry Physician
- McAllen, TX
National Provider Identifier
1992531313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1157174
- Practice address
- 2905 Oriole Ave
McAllen, TX 78504-6016 - Phone
- (956) 310-1180
- NPI assigned
- Sep 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1157174 | TX | Primary |
Addresses
Primary practice location
2905 Oriole Ave
McAllen, TX 78504-6016
Mailing address
2905 Oriole Ave
McAllen, TX 78504-6016
Phone (956) 310-1180
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1157174 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1992531313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 ORIOLE AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046016",
"telephone_number": "956-310-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 ORIOLE AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785046016",
"telephone_number": "956-310-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDERAS",
"first_name": "MANUEL",
"middle_name": "JACOB",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "1157174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.