Active NPI
Michael E. Worsley, PSY.D.
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1023201571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3699
- Practice address
- 2899 Schofield Rd
San Antonio, TX 78234-7770 - Phone
- (602) 748-7691
- NPI assigned
- Aug 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3699 | AZ | Primary |
Addresses
Primary practice location
2899 Schofield Rd
San Antonio, TX 78234-7770
Mailing address
2968 Grove Ter
Seguin, TX 78155-2432
Phone (602) 748-7691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3699 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1023201571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 GROVE TER",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781552432",
"telephone_number": "602-748-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2899 SCHOFIELD RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782347770",
"telephone_number": "602-748-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSLEY",
"first_name": "MICHAEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-18",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.