MIGUEL L DESOCARRAZ JR.


Address: 503 Lakewood St, Rockport, TX 78382-6958
Phone: 3617796472

MIGUEL L DESOCARRAZ JR. (NPI# 1760470249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760470249
Entity Type Individual
Full Name MIGUEL L DESOCARRAZ JR.
Credential PHD
Practice Address 503 Lakewood St
Rockport
TX 78382-6958
Practice Telephone 3617796472
Practice Fax Number 3617291467
Mailing Telephone 3617796472
Mailing Fax Number 3617291467
Enumeration Date 2005-10-10
Last Update Date 2010-07-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 21513 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 033905301 05
TX BCBS OF TX 00HR73 01

Office Location

Street Address 503 LAKEWOOD ST
City ROCKPORT
State TX
Zip Code 78382-6958

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568625150 Paul M Hamilton Phd PC Psychologist 101 N Magnolia St, Rockport, TX 78382-2748 2008-07-03
1033126289 Paul M Hamilton Psychologist 101 N Magnolia St, Rockport, TX 78382-2748 2006-08-01

Providers in the same taxonomy and state

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1659986495 Kennetha L. Fry Phd Pllc Psychologist 2626 S Loop W Ste 545, Houston, TX 77054-2679 2020-09-09
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Competitor

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City ROCKPORT
Zip Code 78382

Improve Information

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Dataset Information

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.

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