The San Antonio Clubhouse, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE SAN ANTONIO CLUBHOUSE, INC.

Practice address

6851 Citizens Pkwy Ste 100
San Antonio, TX 78229-3602

Phone

(210) 798-1619

NPI assigned

Aug 9, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Minot Pratt IV

Title

Cfo

Phone

(210) 798-1619

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194240275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 CITIZENS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293602",
            "telephone_number": "210-798-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 CITIZENS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293602",
            "telephone_number": "210-798-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAN ANTONIO CLUBHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "MINOT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-798-1619",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.