DR. JORGE CARRILLO (NPI# 1174627186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174627186 |
| Entity Type | Individual |
| Full Name | DR. JORGE CARRILLO |
| Credential | PH.D. |
| Practice Address |
5246 Dow Rd Houston TX 77040-6202 |
| Practice Telephone | 7139391229 |
| Practice Fax Number | 7139391569 |
| Mailing Telephone | 7139391229 |
| Mailing Fax Number | 7139391569 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 24411 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
6244 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140804901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356428130 | Jorge D Carrillo | Pharmacist | 1 Renaissance Blvd, Oakbrook Terrace, IL 60181-4294 | 2006-11-01 |
| 1255592945 | Jorge F Carrillo | Obstetrics & Gynecology | 500 Red Creek Dr, Ste 110, Rochester, NY 14623 | 2008-06-24 |
| 1740258359 | Jorge J Carrillo | Internal Medicine | 11211 Prosperity Farms Rd, D127, Palm Beach Gardens, FL 33410-3446 | 2006-03-09 |
| Street Address |
5246 DOW RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77040-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821421207 | Dennis Santana-velazquez | Psychologist | 5246 Dow Rd, Houston, TX 77040-6202 | 2013-08-20 |
| 1649516139 | Houston Autism Center | Psychologist | 5246 Dow Rd, Houston, TX 77040-6202 | 2013-01-02 |
| 1023312154 | Elsie Y Burgos | Psychologist | 5246 Dow Rd, Houston, TX 77040-6202 | 2011-01-04 |
| 1790937027 | Bilingual Psychological Associates, PC | Psychoanalyst | 5246 Dow Rd, Houston, TX 77040-6202 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998595 | Stephanie Lynn Villarreal | Nurse Practitioner | 17347 Village Green Drive, Houston, TX 77040 | 2019-02-12 |
| 1285116855 | Darlene Lestrick | Non-emergency Medical Transport (VAN) | 6518 Hampden Point Ct, Houston, TX 77040 | 2018-08-30 |
| 1659859916 | Jill Nicole Hurst | Dietitian, Registered | 6969 Hollister St., Apt 909, Houston, TX 77040 | 2018-07-30 |
| 1871083444 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 17410 N.w. Freeway, Houston, TX 77040 | 2018-05-18 |
| 1538656111 | First Step To Recovery LLC | Substance Abuse Rehabilitation Facility | 7676 Hilmont, Suite 201, Houston, TX 77040 | 2018-04-18 |
| 1003311945 | Upthrust LLC | Non-emergency Medical Transport (VAN) | 7676 Hillmont St Ste 240e, Houston, TX 77040 | 2018-03-23 |
| 1952831737 | Allegra R Chopin | Technician | 7740 W Little York Rd, 2632, Houston, TX 77040 | 2017-06-14 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1992253744 | Felicia Johnston | Counselor | 7787 Pinemont Dr. Suite B, Houston, TX 77040 | 2016-09-21 |
| 1285011841 | Michelle Callier | Occupational Therapist | 4423 Shadowdale, Houston, TX 77040 | 2015-05-04 |
| Find all providers in zip 77040 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1740818921 | Peter Simione | Psychologist | 7887 San Felipe St Ste 248, Houston, TX 77063-1621 | 2020-04-01 |
| 1316573629 | Tim Weissman | Psychologist | 9144 Spring Branch Dr Ste 103, Houston, TX 77080-7427 | 2020-03-18 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1922649334 | Amanda Rae Richter | Psychologist | 17030 Nanes Dr Ste 209, Houston, TX 77090-2533 | 2019-10-07 |
| 1962062018 | Michael Ralph Winters | Psychologist | 3435 Branard St Ste 202, Houston, TX 77027-6031 | 2019-06-19 |
| 1265998009 | Winsome Health Clinical Management LLC | Psychologist | 2925 Richmond Ave Ste 1200, Houston, TX 77098-3143 | 2019-02-18 |
| 1679046197 | Denis T Flanigan | Psychologist | 2211 Norfolk St Ste 206, Houston, TX 77098-4030 | 2019-01-08 |
| 1487129409 | Anita Payan | Psychologist | 6655 Travis St Ste 880, Houston, TX 77030-1344 | 2018-10-05 |
| Find all providers in HOUSTON | ||||
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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.