Active NPI
John Adams, MD Psychiatry PLLC
- Psychiatric Hospital Unit
- San Antonio, TX
National Provider Identifier
1174882369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- M8465
- Legal business name
- JOHN ADAMS, MD PSYCHIATRY PLLC
- Practice address
- 17720 Corporate Woods Drive
San Antonio, TX 78259 - Phone
- (210) 491-9400
- Fax
- (210) 491-3517
- NPI assigned
- May 9, 2012
- 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
- John Adams, MD
- Title
- Owner
- Phone
- (330) 758-4515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | M8465 | TX | Primary |
Addresses
Primary practice location
17720 Corporate Woods Drive
San Antonio, TX 78259
Mailing address
1141 North Loop 1604
East # 105-158
San Antonio, TX 78232
Phone (330) 758-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613972 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1141 N Loop 1604 E
Ste 105158
San Antonio, TX 78232
Phone (210) 264-4594
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1831393420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1174882369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 NORTH LOOP 1604",
"address_2": "EAST # 105-158",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "330-758-4512",
"fax_number": "330-782-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17720 CORPORATE WOODS DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78259",
"telephone_number": "210-491-9400",
"fax_number": "210-491-3517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN ADAMS, MD PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-758-4515",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "TX",
"license": "M8465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "613972",
"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 9, 2012; 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.