Individual provider Active NPI

Ami Bhatt, PSY.D

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1093162067
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37356 Issued in TX
Practice address
414 W Sunset Rd Ste 201
San Antonio, TX 78209-1771
Phone
(210) 858-1900
Fax
(210) 745-4525
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37356 TX Primary

Addresses

Primary practice location

414 W Sunset Rd Ste 201
San Antonio, TX 78209-1771

Mailing address

414 W Sunset Rd Ste 201
San Antonio, TX 78209-1771
Phone (210) 858-1900

Other identifiers 1

IdentifierTypeStateIssuer
37356OtherTXTEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001423 TX Practitioner - Clinical Psychologist 9234411935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Restore Behavioral Health, PLLCGroup PAC ID 4981752557, 2 clinicians

Practice addresses (Care Compare)

1314 E Sonterra Blvd
Suite 2208
San Antonio, TX 78258-4287
Phone (210) 858-1900

306 W Sunset Rd
Suite 100
San Antonio, TX 78209-1730
Phone (210) 858-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Behavioral Health, PLLC CurrentSince Nov 12, 2016 Accepting new patients

Locations

1314 E Sonterra Blvd
Ste 2208
San Antonio, TX 78258
Phone (210) 858-1900

414 W Sunset Rd
Ste 201
San Antonio, TX 78209
Phone (210) 858-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFIHAA/Endpoint/DFIHAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1093162067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091771",
            "telephone_number": "210-858-1900",
            "fax_number": "210-745-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W SUNSET RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091771",
            "telephone_number": "210-858-1900",
            "fax_number": "210-745-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "AMI",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGY",
            "identifier": "37356",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.