Active NPI
Mistie Dawn Seawell, PSYD, LICENSED PSYCH
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1184772527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31929
- Practice address
- 5788 Eckhert Rd
San Antonio, TX 78240-3900 - Phone
- (210) 699-2272
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 31929 | TX | |
| Clinical Psychologist | 103TC0700X | 31929 | TX | Primary |
Addresses
Primary practice location
5788 Eckhert Rd
San Antonio, TX 78240-3900
Mailing address
2727 Treble CRK
1015
San Antonio, TX 78258-4550
Phone (210) 473-2432
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31929 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1184772527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 TREBLE CRK",
"address_2": "1015",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584550",
"telephone_number": "210-473-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5788 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403900",
"telephone_number": "210-699-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAWELL",
"first_name": "MISTIE",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "PSYD, LICENSED PSYCH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "31929",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31929",
"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 Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.