MS. NICOLE R MABRY (PHD) – Clinical Psychologist, NPI 1144577958

MS. NICOLE R MABRY (PHD) is a healthcare provider. based in San antonio, Texas. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. 65777 (TX). The NPI Number for MS. NICOLE R MABRY (PHD) is 1144577958

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICOLE R MABRY (PHD)
NPI
1144577958
Phone
(210) 615-3483
Address
7272 WURZBACH RD
Enumeration Date
10 August 2012
Last Update Date
10 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106153483
Graduation Year
2011 (15 years ago)
PAC ID
3072830314
Group Practice PAC ID
9234034075
Professional Enrollment ID
I20150325000262
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for MS. NICOLE R MABRY (PHD)

  • 7272 WURZBACH RD

    SUITE 601

    SAN ANTONIO, TX 782404801

    Phone: (210) 615-3483

    Fax: (210) 593-9863

    Mailing address matches the actual address.

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: 2015-03-25

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
I20150325000262IClinical 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
90834Psychotherapy, 45 minutes44278$0
90832Psychotherapy, 30 minutes15466$0
90791Psychiatric diagnostic evaluation4848$0
View full utilization report →

Insurance plans in this area (ZIP 78240)

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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: 9234034075View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. NICOLE R MABRY (PHD)?
The federal identifier for MS. NICOLE R MABRY (PHD) is NPI 1144577958.
Does this profile mean MS. NICOLE R MABRY (PHD) is currently active?
Yes — MS. NICOLE R MABRY (PHD) appears active in the national provider directory.
What kind of provider is MS. NICOLE R MABRY (PHD)?
The page reflects Clinical Psychologist for MS. NICOLE R MABRY (PHD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. NICOLE R MABRY (PHD)?
The page summarizes San Antonio, Texas for MS. NICOLE R MABRY (PHD); expand the address list for detail.
Is MS. NICOLE R MABRY (PHD) a real provider?
This page reflects official NPPES data for NPI 1144577958. Always confirm identity and privileges with the practice and licensing boards.

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