Individual provider Active NPI

Kaseania Riley-Bass, PSY.D

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1053854513
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1952 Issued in AL
Practice address
700 S Zarzamora St Ste 301
San Antonio, TX 78207-5249
Phone
(210) 556-5016
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1952 AL Primary

Addresses

Primary practice location

700 S Zarzamora St Ste 301
San Antonio, TX 78207-5249

Mailing address

700 S Zarzamora St Ste 301
San Antonio, TX 78207-5249
Phone (210) 556-5016

Other practice location 1

5947 Aspen Gdn
San Antonio, TX 78238-4400
Phone (210) 556-5016

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1952ALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1053854513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S ZARZAMORA ST STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075249",
            "telephone_number": "210-556-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ZARZAMORA ST STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075249",
            "telephone_number": "210-556-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5947 Aspen Gdn",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782384400",
            "country_code": "US",
            "telephone_number": "210-556-5016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY-BASS",
        "first_name": "KASEANIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1952",
            "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 Nov 2, 2017; 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.