Individual provider Active NPI

Frank Erwin Emmett, PHD

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1295743706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22545 Issued in TX
Practice address
12050 Vance Jackson Rd
BLDG 2 Ste 201
San Antonio, TX 78230
Phone
(210) 699-8881
Fax
(210) 699-0503
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22545 TX Primary

Addresses

Primary practice location

12050 Vance Jackson Rd
BLDG 2 Ste 201
San Antonio, TX 78230

Mailing address

12050 Vance Jackson Rd
BLDG 2 Ste 201
San Antonio, TX 78230
Phone (210) 699-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111107000066 TX Practitioner - Clinical Psychologist 4284807363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ecumenical Center for Religion and Health 3 clinicians

Practice addresses (Care Compare)

8310 Ewing Halsell Dr
San Antonio, TX 78229-3715
Phone (210) 616-0885

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Ecumenical Center for Religion and Health CurrentSince Oct 3, 2011 Accepting new patients
STBM LLC Clinical PastSince Jul 24, 2022 Accepting new patients

Locations

8310 Ewing Halsell Dr
San Antonio, TX 78229
Phone (210) 616-0885

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295743706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 VANCE JACKSON RD",
            "address_2": "BLDG 2 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78230",
            "telephone_number": "210-699-8881",
            "fax_number": "210-699-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 VANCE JACKSON RD",
            "address_2": "BLDG 2 STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78230",
            "telephone_number": "210-699-8881",
            "fax_number": "210-699-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "FRANK",
        "middle_name": "ERWIN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.