DR. JUSTIN O'ROURKE


Address: 9643 Huebner Rd Ste 103, San Antonio, TX 78240-1752
Phone: 8002911644

DR. JUSTIN O'ROURKE (NPI# 1023354321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023354321
Entity Type Individual
Full Name DR. JUSTIN O'ROURKE
Credential PH.D., ABPP, ABCN
Practice Address 9643 Huebner Rd Ste 103
San Antonio
TX 78240-1752
Mailing Address Po Box 29096
4835 Medical Drive
San Antonio
TX 78229-0096
Practice Telephone 8002911644
Practice Fax Number 2108553988
Enumeration Date 2012-12-14
Last Update Date 2020-08-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 36901 TX Behavioral Health & Social Service Providers
N 103T00000X Psychologist 36901 TX Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS 36901 01
AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY (ABPP, ABCN) 8135 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2041 Sundance Pkwy, New Braunfels, TX 781302779 8002911644 2108553988

Office Location

Street Address 9643 HUEBNER RD STE 103
City SAN ANTONIO
State TX
Zip Code 78240-1752

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174089718 Anthony James Cecchini Nurse Practitioner 9643 Huebner Rd Ste 103, San Antonio, TX 78240-1752 2019-02-19
1902282759 Clinical Neuropsychology of Texas, Pllc Psychologist 9643 Huebner Rd Ste 103, San Antonio, TX 78240-1752 2015-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184285587 Vipulkumar P Prajapati Pathology 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 2019-06-26
1306406202 Gabrielle Nicole Sepulveda Audiologist 21 Spurs Ln Ste 100, San Antonio, TX 78240 2019-06-13
1457919714 Mbg Management Group LLC Hospice Care, Community Based 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 2019-06-03
1386117901 Kevin M Miles Counselor 4820 Gus Eckert, #510, San Antonio, TX 78240 2019-01-07
1578046926 Hubert Velasco Physical Therapist 5000 Fawn Meadow Lane, San Antonio, TX 78240 2018-09-12
1740767540 Sunshine Pharmacy LLC Pharmacy 8840 Huebner Rd, San Antonio, TX 78240 2018-07-24
1982193132 Fitch Surgical Assisting Group, LLC Specialist/Technologist, Other 6163 John Chapman, San Antonio, TX 78240 2018-05-03
1295243202 Janice Marie Hennon Nurse Practitioner 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 2018-01-12
1891213195 Celina Paras Dietitian, Registered 6234 W. Jolie Ct., San Antonio, TX 78240 2017-09-07
1245757616 Claudia G Valdez Occupational Therapy Assistant 9306 Maverick Pass, San Antonio, TX 78240 2017-08-27
Find all providers in zip 78240

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1568824308 Jonathan Highsmith Clinical Neuropsychologist 24203 Bear Mtn, San Antonio, TX 78258-7230 2016-03-22
1336294891 David Michael Richie Clinical Neuropsychologist 23029 S Fork, San Antonio, TX 78255-2105 2007-01-24
1073660262 Cammy Chicota-carroll Clinical Neuropsychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2007-01-03
1942383732 Kate E Glywasky Clinical Neuropsychologist 7940 Floyd Curl Dive, Suite 1040, San Antonio, TX 78229-3606 2006-10-23
1558304543 Daneen A Milam Clinical Neuropsychologist 147 West Sunset Road, Suite 101, San Antonio, TX 78209 2006-06-14
1588604615 Katherine E. Goethe Clinical Neuropsychologist 6547 Bandera Rd, San Antonio, TX 78238-1434 2006-06-07
1679556930 Janyna Marie Mercado Clinical Neuropsychologist 19016 Stone Oak Pkwy Ste 210, San Antonio, TX 78258-3281 2005-11-21
1619520681 Johanna M. Messerly Clinical Neuropsychologist 8300 Floyd Curl Dr Fl 8, San Antonio, TX 78229-3931 2019-07-18
1184185217 Hill Country Neuropsychology, Pllc Clinical Neuropsychologist 24203 Bear Mtn, San Antonio, TX 78258-7230 2019-03-29
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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