Susana Patricia Juarez-Leal, CPNA PHD

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

224336 Issued in TX

Practice address

8535 Tom Slick
San Antonio, TX 78229-3367

Phone

(210) 616-0300

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stonebridge Behavioral Health, P.a.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1861528390
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1245270545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SWEETHEART CRK",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780232511",
            "telephone_number": "830-535-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 TOM SLICK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293367",
            "telephone_number": "210-616-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ-LEAL",
        "first_name": "SUSANA",
        "middle_name": "PATRICIA",
        "credential": "CPNA PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "224336",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "224336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117962407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juarez & Juarez Family Medical Clinic, Inc.
• Giovanni Renato Juarez Cheng, MD
• Cecilia Juarez Higuera, PTA
• Eileen Joanna Juarez Lopez
• Melida Aurora Juarez-Briggs, M.D.
• Albert Juarez, RN
• Aliana Juarez
• Anthony Jesus Juarez, RN
• Daniel Juarez, MD
• Deanna Juarez, FNP-BC

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.