Organization Active NPI

Psychiatric Associates of San Antonio

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1275545519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D5563 Issued in TX
Legal business name
PSYCHIATRIC ASSOCIATES OF SAN ANTONIO
Practice address
343 W Houston St
Suite 301
San Antonio, TX 78205-2107
Phone
(210) 225-3764
Fax
(210) 226-7153
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Damaso Andres Oliva Sr., M.D
Title
Psychiatry M.D
Phone
(210) 225-3764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D5563 TX Primary

Addresses

Primary practice location

343 W Houston St
Suite 301
San Antonio, TX 78205-2107

Mailing address

343 W Houston St
Suite 301
San Antonio, TX 78205-2107
Phone (210) 225-3764

National Provider Directory

National Provider Directory

Locations

343 W Houston St
Ste 301
San Antonio, TX 78205
Phone (210) 224-0602

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275545519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-225-3764",
            "fax_number": "210-226-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-225-3764",
            "fax_number": "210-226-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "DAMASO",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PSYCHIATRY M.D",
        "authorized_official_telephone_number": "210-225-3764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D5563",
            "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 Aug 22, 2020; 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.