MEDICARE: DR. JOHN EDWARD PINKERMAN PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	25251	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023027448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN EDWARD PINKERMAN PH.D

Provider Business Mailing Address
First Line	:	33840 S GARCIA ST UNIT 362
Second Line	:
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-4331
Country	:	US
Telephone Number	:	956-451-8113
Fax Number	:

Provider Business Practice Location Address
First Line	:	33840 S GARCIA ST
Second Line	:
City	:	PORT ISABEL
State	:	TX
Zip	:	78578-4311
Country	:	US
Telephone Number	:	956-451-8113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/04/2026

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