Individual provider Active NPI

Susan Elizabeth McManis, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1174552368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K0929 Issued in TX
Practice address
16719 Huebner Rd
Building 2, Suite 201
San Antonio, TX 78248-2342
Phone
(210) 388-0207
Fax
(210) 388-0208
NPI assigned
Jul 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X K0929 TX Primary

Addresses

Primary practice location

16719 Huebner Rd
Building 2, Suite 201
San Antonio, TX 78248-2342

Mailing address

17107 Fawn Brook Dr
San Antonio, TX 78248-1545
Phone (210) 479-6752

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K0929TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Points Past Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
Turning Points Past Accepting new patients

Organizations & group practices 3

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174552368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17107 FAWN BROOK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481545",
            "telephone_number": "210-479-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16719 HUEBNER RD",
            "address_2": "BUILDING 2, SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482342",
            "telephone_number": "210-388-0207",
            "fax_number": "210-388-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K0929",
            "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, 2007; 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.