Active NPI
Frank Erwin Emmett, PHD
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1295743706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 22545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ecumenical Center for Religion and Health | Current | Accepting new patients | |
| STBM LLC | Clinical | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.