Provider Demographics
NPI:1710180690
Name:EL PASO PSYCHOLOGICAL CONSULTANTS, P.C.
Entity Type:Organization
Organization Name:EL PASO PSYCHOLOGICAL CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:915-845-2260
Mailing Address - Street 1:600 SUNLAND PARK DR
Mailing Address - Street 2:SUITE 1-300
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5115
Mailing Address - Country:US
Mailing Address - Phone:915-845-2260
Mailing Address - Fax:915-585-2016
Practice Address - Street 1:600 SUNLAND PARK DR
Practice Address - Street 2:SUITE 1-300
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5115
Practice Address - Country:US
Practice Address - Phone:915-845-2260
Practice Address - Fax:915-585-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21425103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R33COtherBLUE CROSS BLUE SHIELD
TX00R33CMedicare ID - Type UnspecifiedGROUP NUMBER
TXR57298Medicare UPIN