Organization Active NPI

Deer Oaks Arkansas, LLC

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1235393380
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DEER OAKS ARKANSAS, LLC
Practice address
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone
(888) 365-6271
Fax
(210) 593-9863
NPI assigned
Jul 17, 2008
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Mark Neese Jr.
Title
Cfo
Phone
(210) 615-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801

Mailing address

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (888) 365-6271

Other practice location 1

6928 JFK Blvd
Suite 20-275
N. Little Rock, AR 72116-5312
Phone (501) 835-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090119000034 AR Part B Supplier - Clinic/Group Practice 9638232622 Receives reassigned benefits from 4 practitioners
Practice locations: Springdale, AR; Van Buren, AR; North Little Rock, AR; Maumelle, AR; Lonoke, AR; Hot Springs, AR; Fort Smith, AR; Fayetteville, AR…

National Provider Directory

National Provider Directory

Locations

400 Oak Ct
Clarksville, AR 72830
Phone (479) 754-8611

138 Brighton Ter
Hot Springs National Park, AR 71913
Phone (501) 525-7140

3 Chenal Heights Dr
Little Rock, AR 72223
Phone (501) 830-2273

147 Senior Dr
Mount Ida, AR 71957
Phone (870) 867-2159

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1235393380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "888-365-6271",
            "fax_number": "210-593-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "888-365-6271",
            "fax_number": "210-593-9863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6928 JFK Blvd",
            "address_2": "Suite 20-275",
            "address_purpose": "LOCATION",
            "city": "N. Little Rock",
            "state": "AR",
            "postal_code": "721165312",
            "country_code": "US",
            "telephone_number": "501-835-4147",
            "fax_number": "210-593-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEER OAKS ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "NEESE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-615-3434",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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, 2026; 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.

Verify at the official NPI Registry.