DR. LAURA LEAL AVILA (PHD) – Clinical Psychologist, NPI 1104862077

DR. LAURA LEAL AVILA (PHD) is a healthcare provider. based in Universal city, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 071006779 (IL). The NPI Number for DR. LAURA LEAL AVILA (PHD) is 1104862077

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA LEAL AVILA (PHD)
NPI
1104862077
Phone
(815) 985-8928
Address
13407 Thessaly
Enumeration Date
21 June 2006
Last Update Date
15 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6827774325
Graduation Year
2002 (24 years ago)
PAC ID
5799743886
Group Practice PAC ID
4082938410
Professional Enrollment ID
I20150205000128
Address ID
TX760152356AR1398XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. LAURA LEAL AVILA (PHD)

  • 13407 Thessaly

    Universal City, TX 781482813

    Phone: (815) 985-8928

    Type: Location

  • 1398 W Mayfield Rd Ste 200

    Arlington, TX 760152352

    Phone: (682) 777-4325

    Type: Location

  • 9500 TIOGA DR # A

    SAN ANTONIO, TX 782303118

    Phone: (210) 616-0828

    Fax: (855) 616-0829

    Type: Location

  • 6 DEVON CT

    MANSFIELD, TX 760634890

    Phone: (815) 985-8928

    Type: Mailing

  • 13407, Thessaly, Universal City, Bexar County, Texas, 78148, United States

    UNIVERSAL CITY, TX 781482813

    Phone: (815) 985-8928

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150205000128IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7812$0
90791Psychiatric diagnostic evaluation3939$0
View full utilization report →

Insurance plans in this area (ZIP 78148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082938410View full group profile
NameSpecialtyState
Clinical PsychologistTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify DR. LAURA LEAL AVILA (PHD) with an NPI only?
You can start verification with NPI 1104862077 for DR. LAURA LEAL AVILA (PHD), then check state licensing separately.
Is DR. LAURA LEAL AVILA (PHD) listed as active for patients and plans?
The listing shows DR. LAURA LEAL AVILA (PHD) as active in the NPI system.
What is DR. LAURA LEAL AVILA (PHD)'s primary classification?
Clinical Psychologist is the headline specialty for DR. LAURA LEAL AVILA (PHD) here. Clinical services aligned with this taxonomy classification.
Does DR. LAURA LEAL AVILA (PHD) list a practice location?
Patients near Universal City, Texas may find DR. LAURA LEAL AVILA (PHD) in results; validate coverage separately.
Why does DR. LAURA LEAL AVILA (PHD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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