Individual provider Active NPI

Trudi Zaplac, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1003037441
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35017 Issued in TX
Practice address
8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217
Phone
(210) 202-0100
NPI assigned
May 2, 2007
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36-654 MS
Clinical Psychologist 103TC0700X 2826 TN
Clinical Psychologist 103TC0700X 35017 TX Primary

Addresses

Primary practice location

8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217

Mailing address

4454 Ocean Dr
Corpus Christi, TX 78412-2535
Phone (901) 828-5825

Other identifiers 1

IdentifierTypeStateIssuer
00121883MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000073 TX Practitioner - Clinical Psychologist 5395736870 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36-654MSMDClinical Psychologist
35017TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Services Inc Clinical CurrentSince Nov 21, 2010 Accepting new patients
Trudi Zaplac, J.D., PH.D., PLLC Clinical CurrentSince Sep 27, 2016 Accepting new patients
Orestes Romero MD PA Past Accepting new patients

Locations

8626 Tesoro Dr
Ste 490
San Antonio, TX 78217
Phone (210) 202-0100

8800 Village Dr
Ste 209
San Antonio, TX 78217
Phone (210) 202-0100

1001 E Airline Rd
Victoria, TX 77901
Phone (361) 575-5021

2003 Patterson Dr
Victoria, TX 77901
Phone (361) 570-1200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1003037441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 OCEAN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122535",
            "telephone_number": "901-828-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 TESORO DR STE 490",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176217",
            "telephone_number": "210-202-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPLAC",
        "first_name": "TRUDI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "36-654",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2826",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121883",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.