DR. MAGALY VICTORIA MARRERO (NPI# 1457359051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457359051 |
| Entity Type | Individual |
| Full Name | DR. MAGALY VICTORIA MARRERO |
| Credential | PH.D. |
| Practice Address |
11124 Wurzbach Rd Suite 204 San Antonio TX 78230-2438 |
| Mailing Address |
11124 Wurzbach Rd Suite 204 San Antonio TX 78230-2445 |
| Practice Telephone | 2106989093 |
| Practice Fax Number | 2106994810 |
| Mailing Telephone | 2106989093 |
| Mailing Fax Number | 2106994810 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2008-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
23562 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
23562 | TX | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
23562 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 039028802 | 05 | |
| TX | AETNA | 5884108 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 00B05A | 01 |
| TX | DEPARTMENT OF LABOR | 352765100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760611669 | Magaly E Marrero | Speech-Language Pathologist | 348 55th St, Clarendon Hills, IL 60514-3015 | 2009-07-13 |
| Street Address |
11124 WURZBACH RD SUITE 204 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013411289 | Robert Olivas | Licensed Vocational Nurse | 11124 Wurzbach Rd, San Antonio, TX 78230-2438 | 2018-03-21 |
| 1912257338 | Esther Garza Price | Physical Therapist | 11124 Wurzbach Rd, Ste 201, San Antonio, TX 78230-2438 | 2012-09-13 |
| 1932458957 | Special Kids Care | Early Intervention Provider Agency | 11124 Wurzbach Rd, San Antonio, TX 78230-2438 | 2012-09-05 |
| 1053440388 | Roberto Guadalupe Guerrero | Acupuncturist | 11124 Wurzbach Rd, Suit 305, San Antonio, TX 78230-2438 | 2007-03-04 |
| 1932117082 | Thomas Gaines Jr. | Psychologist | 11124 Wurzbach Rd, Suite 300, San Antonio, TX 78230-2438 | 2006-08-04 |
| 1609866276 | Keith A Fisher | Psychiatry & Neurology | 11124 Wurzbach Rd, Ste 206, San Antonio, TX 78230-2438 | 2005-10-25 |
| 1700885415 | Clark Don Terrell | Psychiatry & Neurology | 11124 Wurzbach Rd, Ste 206, San Antonio, TX 78230-2445 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1063990976 | Diane Laverne Coalson | Psychologist | 16803 Turkey Point St, San Antonio, TX 78232-1828 | 2018-08-02 |
| 1396251757 | Dr. Jacob Pickard Phd, Clinical Psychologist, PC | Psychologist | 1854 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1557 | 2017-12-21 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1801317334 | Alliance Psychology Specialists, Pllc | Psychologist | 7201 Broadway St Ste 218, San Antonio, TX 78209-3773 | 2017-07-06 |
| 1508317116 | John Martin Velasquez | Psychologist | 4030 Tallulah Dr, San Antonio, TX 78218-3448 | 2016-10-18 |
| 1275980740 | Richard John Rini | Psychologist | 4607 Midnight Woods St, San Antonio, TX 78249-1817 | 2016-05-15 |
| 1821451402 | Trudi Zaplac, J.d., Ph.d., Pllc | Psychologist | 7715 Wexford Sq, San Antonio, TX 78240-3923 | 2016-04-01 |
| 1174981542 | Needhi Bhaga | Psychologist | 531 Stonewood St, San Antonio, TX 78216-7920 | 2016-02-01 |
| 1457717613 | Tim Peterson | Psychologist | 4940 Broadway St, Suite 139, San Antonio, TX 78209-5747 | 2016-01-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on DR. MAGALY VICTORIA MARRERO.
| 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.