| The Groves Assessment And Psychotherapy | |
|
2616 Buddy Owens Blvd Mcallen TX 78504-6900 | |
| (956) 800-5679 | |
| (956) 322-4415 |
| Full Name | The Groves Assessment And Psychotherapy |
|---|---|
| Speciality | Psychologist |
| Location | 2616 Buddy Owens Blvd, Mcallen, Texas |
| Authorized Official Name and Position | Juan Carlos Castillo (OWNER) |
| Authorized Official Contact | 9568005679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Groves Assessment And Psychotherapy 2616 Buddy Owens Blvd Mcallen TX 78504-6900 Ph: (956) 800-5679 | The Groves Assessment And Psychotherapy 2616 Buddy Owens Blvd Mcallen TX 78504-6900 Ph: (956) 800-5679 |
| NPI Number | 1871045765 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 6901299973 |
|---|---|
| Medicare Enrollment ID | O20220215002735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871045765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 37418 (Texas) | Primary |
| Provider Name | Kimberly G Villabona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639458284 PECOS PAC ID: 6204002595 Enrollment ID: I20120109000686 |
| Provider Name | Juan Carlos Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902281322 PECOS PAC ID: 7719370782 Enrollment ID: I20220215002744 |
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