Individual provider Active NPI

Rosalyn L. Womack, D.O.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1194981696
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N6773 Issued in TX
Practice address
5372 Fredericksburg Rd
San Antonio, TX 78229-3558
Phone
(210) 261-1600
Fax
(210) 615-5721
NPI assigned
Aug 4, 2008
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO2025-0024 NM
Psychiatry Physician 2084P0800X N6773 TX Primary

Addresses

Primary practice location

5372 Fredericksburg Rd
San Antonio, TX 78229-3558

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060

Other practice location 1

555 S Schwartz Ave
Farmington, NM 87401-5955
Phone (505) 609-6680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121004000818 TX Practitioner - Psychiatry 8022267129 Reassigns benefits to 1 organization
I20161228002199 CA Practitioner - Psychiatry 8022267129 Reassigns benefits to 1 organization
I20250415002282 NM Practitioner - Psychiatry 8022267129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 S Schwartz Ave
Behavioral Health Services
Farmington, NM 87401-5955
Phone (505) 609-6680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14063CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Nov 12, 2016 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Sep 7, 2021 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Apr 11, 2025 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Sep 7, 2021 Accepting new patients
Alameda Health System CurrentSince Nov 12, 2016 Accepting new patients
San Juan Regional Medical Center Inc Psychiatry CurrentSince Apr 11, 2025 Accepting new patients
San Juan Regional Medical Center, Inc. Past Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

555 S Schwartz Ave
Farmington, NM 87401
Phone (505) 564-8073

5372 Fredericksburg Rd
Bldg F
San Antonio, TX 78229
Phone (210) 261-1250

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1194981696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-261-1060",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293558",
            "telephone_number": "210-261-1600",
            "fax_number": "210-615-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Schwartz Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015955",
            "country_code": "US",
            "telephone_number": "505-609-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "ROSALYN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "DO2025-0024",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.