Carolyn Black Becker, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31390 Issued in TX

Practice address

12500 NW Military Hwy Ste 250
San Antonio, TX 78231-1871

Phone

(210) 302-6920

NPI assigned

Aug 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Carol Albert

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1538238662
  NPD (past)
• Jewish Family Service of San Antonio Texas Inc.

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1679606701
  NPD (past)

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1295929487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311871",
            "telephone_number": "210-302-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311871",
            "telephone_number": "210-302-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "CAROLYN",
        "middle_name": "BLACK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Beck, MD
• Bradly T Beckel, DDS
• Jerome J Beckel, DDS
• Shannon Pfeiffer Beckel, OTR
• Kaitlin Beckelhymer
• Donna S. Becker, DO
• Emily Marie Becker, M.D.
• Harold Friedrich Becker, PA
• Joseph Richard Becker, MD
• Richard A. Becker, M.D.

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.