Provider Demographics
| NPI: | 1790937027 |
|---|---|
| Name: | BILINGUAL PSYCHOLOGICAL ASSOCIATES PC |
| Entity Type: | Organization |
| Organization Name: | BILINGUAL PSYCHOLOGICAL ASSOCIATES PC |
| Other - Org Name: | BILINGUAL PSYCHOLOGICAL ASSOCIATES, LLC |
| Other - Org Type: | Former Legal Business Name |
| Authorized Official - Title/Position: | OFFICE ADMINISTRATOR |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | JORGE |
| Authorized Official - Middle Name: | HERNANDO |
| Authorized Official - Last Name: | CARRILLO |
| Authorized Official - Suffix: | JR |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 713-939-1229 |
| Mailing Address - Street 1: | 5246 DOW RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOUSTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77040-6202 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 713-939-1229 |
| Mailing Address - Fax: | 713-939-1569 |
| Practice Address - Street 1: | 5246 DOW RD |
| Practice Address - Street 2: | |
| Practice Address - City: | HOUSTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77040-6202 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 713-939-1229 |
| Practice Address - Fax: | 713-939-1569 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-10-17 |
| Last Update Date: | 2022-02-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | Group - Multi-Specialty | |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
| No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
| No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
| No | 103TP0016X | Behavioral Health & Social Service Providers | Psychologist | Prescribing (Medical) | Group - Multi-Specialty |
| No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis | Group - Multi-Specialty |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
| No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 1879728-02 | Medicaid | |
| TX | 187972801 | Medicaid |
