ALICIA SAN MIGUEL PHD
NPI 1669176053
Psychologist - Clinical in Houston, TX

Q: What is Alicia San Miguel's NPI number?

The NPI number for Alicia San Miguel is 1669176053. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Alicia San Miguel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Alicia San Miguel was last updated on July 6, 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.

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment

2450 FONDREN RD STE 312, HOUSTON, TX 77063(713) 789-7560(713) 789-7351 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Mar 29, 2023 (2 updates tracked since 2023).

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About Alicia San Miguel Phd NPPES

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

ALICIA SAN MIGUEL PHD (NPI 1669176053) is an individual clinical provider in Houston, Texas, licensed in Texas (39850) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Galveston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669176053

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALICIA SAN MIGUELCredential: PHD

Location Address2450 FONDREN RD STE 312Houston, TX 77063-2323

Mailing Address2450 Fondren Rd Ste 312Houston, TX 77063-2323 · (713) 789-7560 · Fax (713) 789-7351

Phone(713) 789-7560

Fax(713) 789-7351

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 29, 2023

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1669176053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 39850

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

2450 FONDREN RD STE 312, Houston, TX 77063

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Secondary Practice Location 1

Location 1815 Market StGalveston, TX 77550-2725 · Phone (409) 770-6600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.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

Alicia San Miguel Phd 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 ID4284149196

PECOS Enrollment IDI20250710004447

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

Medicare enrollment records show Alicia San Miguel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cpf Sjn Outpatient, LLC

Same address

Clinical

2450 FONDREN RD STE 312
Houston, TX 77063

Reassigned Medicare billing, Texas enrollment
26 clinicians in this Medicare group

NPI 1730830001 (713) 789-7560

Shriners Hospitals For Children

7.6 mi

Pediatrics

6560 FANNIN ST STE 1900
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
112 clinicians in this Medicare group

NPI 1649850272 (409) 770-6600

The Gulf Coast Center

28 mi

Psychiatry

4444 W MAIN ST
League City, TX 77573

Reassigned Medicare billing, Texas enrollment
115 clinicians in this Medicare group

NPI 1245285899 (409) 763-2373

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.98 typical visit price

range $58.24 – $176.98

Typical copayment $44.24 (range $14.56 – $44.24)

Most-billed visit code 99205

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

EXISTENTIAL PSYCHOLOGY PLLC

Psychologist (Counseling)