Active NPI
Deer Oaks Mid-West LLC
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1154978476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DEER OAKS MID-WEST LLC
- Practice address
- 7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803 - Phone
- (210) 615-3483
- NPI assigned
- Aug 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Neese Jr.
- Title
- Cfo
- Phone
- (210) 615-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Mailing address
7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone (210) 615-3483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190927002974 | IL | Part B Supplier - Clinic/Group Practice | 2264762681 |
Receives reassigned benefits from 28 practitioners Practice locations: Franklin Grove, IL; Highwood, IL; Itasca, IL; Naperville, IL; Niles, IL; Normal, IL; Northbrook, IL; Oak Lawn, IL… |
National Provider Directory
National Provider DirectoryLocations
1225 S Ewing Dr
Pontiac, IL 61764
Phone (815) 844-5121
Practitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Flowood, MS
- NPI 1760990865
IL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1154978476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD STE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404803",
"telephone_number": "210-615-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD STE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404803",
"telephone_number": "210-615-3483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEER OAKS MID-WEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-21",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A",
"authorized_official_last_name": "NEESE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "210-615-3434",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"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 Jul 8, 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.