South Texas Neuropsychological Associates PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

30743 Issued in TX

Legal business name

SOUTH TEXAS NEUROPSYCHOLOGICAL ASSOCIATES PLLC

Practice address

3603 Paesanos Pkwy
Ste 300a
San Antonio, TX 78231-1267

Phone

(210) 614-3011

Fax

(210) 615-6906

NPI assigned

Mar 25, 2010

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gilbert Martinez PH.D, PH.D

Title

President

Phone

(210) 614-3011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gilbert Martinez, PH.D.

  • Clinical Neuropsychologist
  • San Antonio, TX
  • NPI 1407971138
  Medicare reassignment NPD
• Michelle Cich, CCC-SLP

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1740854553
  NPD
• Douglas Brendon Cooper, PHD

  • Clinical Neuropsychologist
  • Fort Sam Houston, TX
  • NPI 1629056734
  NPD
• Emily Grace Satel

  • Mental Health Counselor
  • Austin, TX
  • NPI 1891572764
  NPD (past)

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1003130543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY",
            "address_2": "STE 300A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267",
            "telephone_number": "210-614-3011",
            "fax_number": "210-615-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 PAESANOS PKWY",
            "address_2": "STE 300A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311267",
            "telephone_number": "210-614-3011",
            "fax_number": "210-615-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS NEUROPSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ PH.D",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-614-3011",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "30743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Medspa LLC (Slimedica)
• South Texas MRI LTD
• South Texas Nephrology, P.a
• South Texas Neurobehavioral Group LLC
• South Texas Neurology LLC
• South Texas Neurosurgical Associates,P.a.
• South Texas Nurse Practitioner Services, PLLC (Innovative Primary Care)
• South Texas Oncology and Hematology, PLLC (The START Center Pharmacy)
• South Texas Oncology and Hematology, PLLC
• South Texas Ophthalmology & Associates

• Clinical Neuropsychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.