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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS | 36901 | 01 |
AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY (ABPP, ABCN) | 8135 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2041 Sundance Pkwy, New Braunfels, TX 781302779 | 8002911644 | 2108553988 |
Street Address |
9643 HUEBNER RD STE 103 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78240-1752 |
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 |
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 Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
City | SAN ANTONIO |
Zip Code | 78240 |
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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.