LUIS PONTE RODRIGUEZ
NPI 1013842418
Psychologist in College Station, TX

Active since June 16, 2026Opted out of Medicare · through Jun 22, 2028
4340 DECATUR DR APT 5313, COLLEGE STATION, TX 77845(956) 324-3721 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Luis Ponte Rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS PONTE RODRIGUEZ (NPI 1013842418) is an individual psychologist in College Station, Texas and active in the NPI registry since June 2026. He has opted out of Medicare through June 22, 2028.

NPPES Registry Identity

NPI1013842418
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameLUIS PONTE RODRIGUEZ
Location Address4340 DECATUR DR APT 5313College Station, TX 77845-9754
Mailing Address4340 Decatur Dr Apt 5313College Station, TX 77845-9754
Sole ProprietorYes
Enumeration DateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1013842418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
4340 DECATUR DR APT 5313, College Station, TX 77845

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Luis Ponte Rodriguez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 22, 2026 through June 22, 2028.

Opt-Out Effective DateJune 22, 2026
Opt-Out In Effect ThroughJune 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Ponte Rodriguez's NPI number?

The NPI number for Luis Ponte Rodriguez is 1013842418. It was assigned to this individual provider in the NPPES registry on June 16, 2026.

Where is Luis Ponte Rodriguez located?

Luis Ponte Rodriguez practices at 4340 Decatur Dr Apt 5313, College Station, TX 77845. The listed phone number is (956) 324-3721.

What is Luis Ponte Rodriguez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Luis Ponte Rodriguez enrolled in Medicare?

No. Luis Ponte Rodriguez has opted out of Medicare through June 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Luis Ponte Rodriguez was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.