DR. MARY L. TREVINO (NPI# 1851428957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851428957 |
| Entity Type | Individual |
| Full Name | DR. MARY L. TREVINO |
| Credential | PH.D. |
| Practice Address |
261 Turtle Ln Seguin TX 78155-3142 |
| Practice Telephone | 2102501298 |
| Practice Fax Number | 8304334790 |
| Mailing Telephone | 2102501298 |
| Mailing Fax Number | 8304334790 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
11530 | TX | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
11530 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166851902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689078172 | Mary Elizabeth Trevino | Specialist/Technologist | 6109 Maple St, Houston, TX 77074-7449 | 2014-10-13 |
| 1043554322 | Mary Guadalupe Trevino | Occupational Therapy Assistant | 17480 Dallas Pkwy, Suite 221, Dallas, TX 75287-7337 | 2012-11-26 |
| 1609047133 | Mary Y Trevino | Occupational Therapy Assistant | 1619 E Hwy 83, Rio Grande City, TX 78582-4600 | 2008-03-12 |
| Street Address |
261 TURTLE LN |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821283177 | Autumn View Alliance, LLC | Psychologist | 261 Turtle Ln, Seguin, TX 78155-3142 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821283177 | Autumn View Alliance, LLC | Psychologist | 261 Turtle Ln, Seguin, TX 78155-3142 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013639 | Shelby B Daniel | Psychologist | 5301 13th St, Lubbock, TX 79416-5408 | 2020-11-02 |
| 1629618921 | Mental Healthy & Wellness Collective, LLC | Psychologist | 6090 Surety Dr Ste 304, El Paso, TX 79905-2056 | 2020-01-14 |
| 1114491321 | Nakendra Rashae Butler | Psychologist | 219 Williams St, Athens, TX 75751-4445 | 2019-01-22 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| 1609304195 | Gale D Huddleston | Psychologist | 3414 Zephyr Glen Way, Houston, TX 77084-7090 | 2017-05-26 |
| 1568719367 | Allied Healthcare Services | Psychologist | 644 Fm 1959 Rd, Houston, TX 77034-5420 | 2012-08-10 |
| 1275827529 | Peopleschoice Healthcare | Psychologist | 12605 Cobble Springs Dr, Pearland, TX 77584-6717 | 2011-06-04 |
| 1891086997 | Callie Commerleathy Young | Psychologist | 622 Janisch Rd Trlr 4a, Houston, TX 77018-2263 | 2011-04-22 |
| 1114221611 | Mimi H. Wright | Psychologist | 2100 County Road 4145, Cranfills Gap, TX 76637-4550 | 2010-12-27 |
| 1235371477 | Cohealth Psychology Services, P.a. | Psychologist | 3800 Central Dr, Bedford, TX 76021-2683 | 2009-04-02 |
| Find all providers with the same taxonomy | ||||
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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.