MR. RAFAEL ANGEL SALAS (NPI# 1487767588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487767588 |
| Entity Type | Individual |
| Full Name | MR. RAFAEL ANGEL SALAS |
| Credential | PSYD |
| Practice Address |
228 Saint George St Gonzales TX 78629-3910 |
| Practice Telephone | 8306726511 |
| Practice Fax Number | 8306726430 |
| Mailing Telephone | 8306726511 |
| Mailing Fax Number | 8306726430 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 32524 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ST. BD. OF EXAM OF PSY | 32524 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295998177 | Rafael Emerick Salas | Surgery | 3050 Biscayne Blvd, Suite # 601, Miami, FL 33137-4158 | 2008-07-09 |
| 1750390282 | Rafael Salas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1055 Clarksville St, Suite 165, Paris, TX 75460-6097 | 2006-08-05 |
| Street Address |
228 SAINT GEORGE ST |
| City | GONZALES |
| State | TX |
| Zip Code | 78629-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626871 | Roland A Medellin | Family Medicine | 228 Saint George St, Gonzales, TX 78629-3910 | 2005-08-11 |
| 1235785205 | Ogechi Anthonia Obiakor | Dentist | 228 Saint George St, Gonzales, TX 78629-3910 | 2019-08-14 |
| 1356891410 | Haley Lynn Pirkle | Counselor | 228 Saint George St, Gonzales, TX 78629-3910 | 2016-10-12 |
| 1902211923 | Chelsea Allison Padgett | Dentist | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-06-28 |
| 1558789966 | Jill Ashley Elliott | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-04-02 |
| 1770924961 | Gabriel Gallardo | Counselor | 228 Saint George St, Gonzales, TX 78629-3910 | 2013-07-16 |
| 1407197114 | Kelly Gibson | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2013-03-05 |
| 1164776548 | Katherine D Paterson | Nurse Practitioner | 228 Saint George St, Gonzales, TX 78629-3910 | 2012-11-06 |
| 1740579853 | Courtney Lauren Panus | Licensed Vocational Nurse | 228 Saint George St, Gonzales, TX 78629-3910 | 2011-03-30 |
| 1457679821 | Rebecca Vela | Social Worker | 228 Saint George St, Gonzales, TX 78629-3910 | 2010-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032072 | Bruce Franklin Blackwell | Pharmacist | 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 | 2020-10-30 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 1831663400 | Caitlin Walker | Clinic/Center | 1300 Captain Albert Martin Trail, Gonzales, TX 78629 | 2019-01-17 |
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1104348762 | Jeremiah Berryhill | Specialist/Technologist | 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 | 2017-07-14 |
| 1073912861 | Gonzales County Senior Citizens Association, Inc | Home Delivered Meals | 818 Seydler Street, Gonzales, TX 78629 | 2014-08-18 |
| 1932544517 | Familylink Treatment Services | Counselor | 13326 Highway North 183, Gonzales, TX 78629 | 2013-05-08 |
| 1598035651 | H-e-b, Lp | Clinical Medical Laboratory | 1841 Church St., Gonzales, TX 78629 | 2012-01-06 |
| 1942441159 | Rebecca P. Bohach | Licensed Vocational Nurse | 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 | 2009-03-18 |
| 1376763631 | Gonzales Isd | Local Education Agency (LEA) | 535 Fair St., Gonzales, TX 78629 | 2007-04-27 |
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| 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 |
|---|---|---|---|---|
| 1063617256 | Betye J Mashack | Psychologist | 1325 Babin Mill Drive, Gonzales, LA 70737 | 2007-06-18 |
| 1275690117 | Dawn Elizabeth O'donnell | Psychologist | 228 Saint George St, Gonzales, TX 78629-3910 | 2007-01-02 |
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|---|---|---|---|---|
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| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
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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.