DR. THERON LIDDELL PH.D.
NPI 1528515939
Psychologist in Harlingen, TX

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
2106 TREASURE HILLS BLVD, # 129, HARLINGEN, TX 78550(956) 366-4500 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theron Liddell Ph.d. NPPES

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

DR. THERON LIDDELL PH.D. (NPI 1528515939) is an individual psychologist in Harlingen, Texas and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528515939
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. THERON LIDDELLCredential: PH.D.
Location Address2106 TREASURE HILLS BLVD, # 129Harlingen, TX 78550-8736
Mailing Address2106 Treasure Hills Blvd, # 129Harlingen, TX 78550-8736
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2016
✔ NPI 1528515939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
2106 TREASURE HILLS BLVD, Harlingen, TX 78550

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theron Liddell Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668744673
PECOS Enrollment IDI20260513003349
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Theron Liddell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
7910 WYOMING BLVD NE STE A
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
Optometrist
5865 W UTOPIA RD
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 107 clinicians in this Medicare group
Multi-Specialty
1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
Multi-Specialty
380 W 100 N
Monticello, UT 84535
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Vocational Nurse
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Emergency Medicine (Emergency Medical Services)
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Pharmacy Technician
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Pharmacist
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Registered Nurse
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Social Worker
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Social Worker (Clinical)
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550
Department of Veterans Affairs (VA) Pharmacy
2106 TREASURE HILLS BLVD
HARLINGEN, TX 78550

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 Theron Liddell's NPI number?

The NPI number for Theron Liddell is 1528515939. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Theron Liddell located?

Theron Liddell practices at 2106 Treasure Hills Blvd # 129, Harlingen, TX 78550. The listed phone number is (956) 366-4500.

What is Theron Liddell's specialty?

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

Is Theron Liddell enrolled in Medicare?

Yes. Theron Liddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theron Liddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theron Liddell reassigns Medicare benefits to 4 organizations: St Vincent Hospital (Albuquerque, NM), Midwestern University (Glendale, AZ), Vhs Outpatient Clinics, Inc. (Goodyear, AZ) and Ihc Health Services Inc (Monticello, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theron Liddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theron Liddell accept?

Health plans from Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Theron Liddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theron Liddell affiliated with any hospitals?

According to CMS data, Theron Liddell is affiliated with Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Theron Liddell was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.