Brazos Valley Psychological Services PA
NPI 1154357747ActiveOrganization· Psychologist· Bryan, TX
Psychologist in Bryan, Texas, registered in NPPES in June 2006. The authorized official on file is Kim Marie Arredondo, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154357747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2006 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 32759 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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