Organization Active NPI

Rosemary J. Stauber, PHD

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1164698841
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-5325 Issued in TX
Legal business name
ROSEMARY J. STAUBER, PHD
Practice address
359 E Hildebrand Ave
Suite 100
San Antonio, TX 78212-2436
Phone
(210) 828-3624
Fax
(219) 828-2873
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Rosemary J. Stauber, PHD
Title
Clinical Psychologist
Phone
(210) 828-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-5325 TX Primary

Addresses

Primary practice location

359 E Hildebrand Ave
Suite 100
San Antonio, TX 78212-2436

Mailing address

359 E Hildebrand Ave
Suite 100
San Antonio, TX 78212-2436

Other identifiers 1

IdentifierTypeStateIssuer
113289602MedicaidTX

National Provider Directory

National Provider Directory

Locations

359 E Hildebrand Ave
Ste 100
San Antonio, TX 78212
Phone (210) 824-3391

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1164698841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 E HILDEBRAND AVE",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 E HILDEBRAND AVE",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122436",
            "telephone_number": "210-828-3624",
            "fax_number": "219-828-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARY J. STAUBER, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "STAUBER",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-828-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113289602",
            "state": "TX"
        }
    ],
    "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 May 2, 2008; 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.