DR. IRIS YLENIA CARRILLO (NPI# 1437586534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437586534 |
| Entity Type | Individual |
| Full Name | DR. IRIS YLENIA CARRILLO |
| Credential | PH.D. |
| Practice Address |
4103 S Texas Ave Ste 203 Bryan TX 77802-4043 |
| Practice Telephone | 9793617907 |
| Practice Fax Number | 9798466557 |
| Mailing Telephone | 9793617907 |
| Mailing Fax Number | 9798466557 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
36345 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4103 S TEXAS AVE STE 203 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275074023 | Mark Joseph Gherardi | Counselor | 4103 S Texas Ave Ste 203, Bryan, TX 77802-4043 | 2017-03-13 |
| 1275076390 | Christina Locke Ingram | Psychologist | 4103 S Texas Ave Ste 203, Bryan, TX 77802-4043 | 2016-11-21 |
| 1326462359 | Iris Y. Carrillo, Ph.d. | Psychologist | 4103 S Texas Ave Ste 203, Bryan, TX 77802-4043 | 2014-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770966616 | Jeanette Madkins, Phd, Abpp, Pllc | Psychologist | 3201 University Dr E Ste 200, Bryan, TX 77802-3431 | 2015-07-08 |
| 1285058123 | Jeanette Madkins | Psychologist | 2402 Broadmoor Dr Ste 111, Bryan, TX 77802-2847 | 2014-02-12 |
| 1508878182 | Ronald Lee Lutz | Psychologist | 4103 S Texas Ave, Suite 203, Bryan, TX 77802-4040 | 2006-08-12 |
| 1407486939 | Gisela Lin Counseling and Consultation Services Pllc | Psychologist | 1401 Sandia Plz, Bryan, TX 77802-4356 | 2020-01-23 |
| 1275076390 | Christina Locke Ingram | Psychologist | 4103 S Texas Ave Ste 203, Bryan, TX 77802-4043 | 2016-11-21 |
| 1326462359 | Iris Y. Carrillo, Ph.d. | Psychologist | 4103 S Texas Ave Ste 203, Bryan, TX 77802-4043 | 2014-02-11 |
| 1053756411 | James Otis Deegear Iv | Psychologist | 2554 E Villa Maria Rd, Bryan, TX 77802-2037 | 2013-04-29 |
| 1902161987 | Daniel F Brossart | Psychologist | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2012-07-06 |
| 1942420369 | Celeste A Riley | Psychologist | 2900 E 29th St, Suite 300, Bryan, TX 77802-2603 | 2007-04-26 |
| 1275750283 | Stephen D Liter | Psychologist | 2900 E 29th St, Suite300, Bryan, TX 77802-2603 | 2007-04-19 |
| Find all providers in BRYAN | ||||
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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.