Provider Demographics
NPI:1619178753
Name:DR CATE CARABELLE CLINICAL PSYCHOLOGIST PLLC
Entity type:Organization
Organization Name:DR CATE CARABELLE CLINICAL PSYCHOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARABELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-727-0014
Mailing Address - Street 1:7980 ANCHOR DR
Mailing Address - Street 2:STE 100A
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-8267
Mailing Address - Country:US
Mailing Address - Phone:409-727-0014
Mailing Address - Fax:
Practice Address - Street 1:7980 ANCHOR DR
Practice Address - Street 2:SUITE 100A
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8260
Practice Address - Country:US
Practice Address - Phone:409-727-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180231601Medicaid
TX87356AOtherBLUE CROSS BLUE SHIELD
TX2162285OtherCOMPSYCH
TX597788OtherVALUE OPTIONS
TX00X679Medicare PIN