Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750327649 Individual Practitioner Male Practitioner

Dr. Javier Carrillo , PhD

Psychologist • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Javier Carrillo, PhD is a certified Psychologist practicing in San Angelo, TX. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Carrillo delivers high-quality medical care to the local community at 3115 SOUTH LOOP 306.

Dr. Carrillo is affiliated with El Paso Community Mhmr and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3115 South Loop 306
Suite 110

San Angelo, TX 769045983

Telephone 3259421952
Fax 3259421517
Associated Practice Facility / Clinic
🏢 Psychspring, P.l.l.c. Facility NPI 1487868543

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in San Angelo, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs Matches City Avg
City Avg: 36.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
5 Specialists

Practicing in San Angelo, TX (2266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carrillo (36 Years) 36 Yrs
San Angelo Specialty Average (36.0 Years) 36.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-11-13
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 24690

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
117826108 (TX)
Commercial Insurance / Payer ID Bcbs
87709A (TX)

Hospital & Practice Group Affiliations

El Paso Community Mhmr

8730 Boeing Dr, El Paso, TX 799251228

Phone: 9158873410

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Richard Mcgraw , PhD

Psychologist - Clinical

NPI 1073545737

Doctor of Philosophy (Ph.D.)

Dean Bates , MS, LPC

Counselor - Mental Health

NPI 1275781320

Master of Science, Licensed Professional Counselor

Dr. Lee Morrison , PhD

Psychologist - Clinical

NPI 1679502835

Doctor of Philosophy (Ph.D.)

Dr. Jacquelin Greuling , PhD

Psychologist - Clinical

NPI 1689626335

Doctor of Philosophy (Ph.D.)

Tina Ashley , LPC

Counselor - Mental Health

NPI 1699938118

Licensed Professional Counselor

Dr. George Woodward , EdD

Psychologist - Clinical

NPI 1720007685

Doctor of Education (Ed.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address November 13, 2020

Registered at 8900 VISCOUNT BLVD STE AN117, EL PASO, TX 799255897 (Tel: 9154910707)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2020

Psychologist (License #24690 in TX)

NPI Profile Active December 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2010

Registered at 3115 SOUTH LOOP 306, SUITE 110, SAN ANGELO, TX 769045983 (Tel: 3259421952)

📍
Updated Business Mailing Address December 30, 2010

Registered at 3115 LOOP 306, SUITE 110, SAN ANGELO, TX 769045983 (Tel: 3259421952)

👤
Provider Name / Credentials Updated December 30, 2010

Recorded as JAVIER CARRILLO, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2010

Psychologist (License #24690 in TX)

🟢
Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750327649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2006
Last Update: November 13, 2020
Sole Proprietor: No

Mailing Address

8900 Viscount Blvd Ste An117

El Paso, TX 799255897

Phone: 9154910707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.