Individual provider Active NPI

Michelle Viro, PH.D.

  • Clinical Psychologist
  • Boerne, TX
National Provider Identifier
1346888112
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32786 Issued in TX
Practice address
916 E Blanco Rd Ste 200
Boerne, TX 78006-1763
Phone
(281) 831-9852
NPI assigned
Dec 12, 2019
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 32786 TX Primary

Addresses

Primary practice location

916 E Blanco Rd Ste 200
Boerne, TX 78006-1763

Mailing address

175 Lake Front Dr
Boerne, TX 78006-5630
Phone (281) 831-9852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32786TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle B Viro PHD PA Clinical CurrentSince Apr 16, 2023 Accepting new patients

Locations

916 E Blanco Rd
Ste 200
Boerne, TX 78006
Phone (281) 831-9852

24123 Boerne Stage Rd
Ste 430
San Antonio, TX 78255
Phone (210) 615-0555

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1346888112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LAKE FRONT DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065630",
            "telephone_number": "281-831-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E BLANCO RD STE 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061763",
            "telephone_number": "281-831-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRO",
        "first_name": "MICHELLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.