Jackson Neuroscience Center

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JACKSON NEUROSCIENCE CENTER

Practice address

540 Madison Oak Dr Ste 340
San Antonio, TX 78258-3921

Phone

(210) 830-4681

Fax

(888) 894-2635

NPI assigned

Jan 11, 2022

Last updated

Oct 9, 2026By 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

Danny Vining, PMHNPNPI 1306175138

Title

Practice Manager

Phone

(601) 214-9385

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Danny Vining, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1306175138
  Medicare reassignment NPD Authorized official
• Daniel Gerard Jemison, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1699296509
  Medicare reassignment NPD
• Sayed Aamir Raza, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1699785188
  Medicare reassignment NPD

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1043961170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583921",
            "telephone_number": "201-830-4681",
            "fax_number": "888-894-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583921",
            "telephone_number": "210-830-4681",
            "fax_number": "888-894-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6514 Highway 90A Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774982120",
            "country_code": "US",
            "telephone_number": "281-915-2370",
            "fax_number": "281-915-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON NEUROSCIENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "601-214-9385",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Escariao Loures Jack
• Natalie Jackamonis, RN
• Hazel Jackman, RBT
• Amber Jacko, FNP
• Stacey Jacks, RN
• Lori Jackson-Bogle, P.A.
• Laurel Jackson-Cook, LPC
• Chasity Renea Jackson-Ellis, DPT
• Erica Rena Jackson-Harges
• Ada L. Jackson, COTA

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.