Unknown Individual – Psychiatry Physician, NPI 1336147792
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3607, Rivera Avenue, El Paso, El Paso County, Texas, 79905, United States
EL PASO, TX 799052415
Phone: (915) 533-7057
Fax: (915) 533-7158
Type: Mailing
3612, Pera Avenue, El Paso, El Paso County, Texas, 79905, United States
EL PASO, TX 799052412
Phone: (915) 533-7057
Fax: (915) 533-7158
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-01-12 • Largest payer in this snapshot: ITI, Inc. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $125 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | GA | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | TX | |
| Family Practice | NM | |
| Emergency Medicine | NM | |
| Emergency Medicine | NY | |
| Emergency Medicine | CA | |
| Emergency Medicine | TX | |
| - | NM |
Reviews
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