Mind & Body Connection PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55928 Issued in TX

Legal business name

MIND & BODY CONNECTION PLLC

Practice address

4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325

Phone

(210) 481-8673

Fax

(210) 481-2480

NPI assigned

Feb 8, 2018

Last updated

Apr 17, 2019By 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

Mr. Rogelio Perez, LCSWNPI 1326583709

Title

Sole Membeer

Phone

(210) 481-8673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Rogelio Jose Perez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1326583709
  Authorized official Same address or phone

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1043719743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 WOODCOCK DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281325",
            "telephone_number": "210-481-8673",
            "fax_number": "210-481-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 WOODCOCK DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281325",
            "telephone_number": "210-481-8673",
            "fax_number": "210-481-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Landa St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781307934",
            "country_code": "US",
            "telephone_number": "210-481-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND & BODY CONNECTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "SOLE MEMBEER",
        "authorized_official_telephone_number": "210-481-8673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Maged Mina, MD
• Mardel Judith Minaldo, PT, DPT
• Lindsay M Minarovic, LCSW
• Pamala A Minatra, PTA
• Kimberlee Mincey, PHD
• Mind Body Clarity Inc.
• Mind Bridges PLLC
• Mind Matters Psychiatric Clinic PLLC
• Mind Matters Psychiatric Clinic PLLC
• Mind Sight LLC (Mind Your Self)

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.