Organization Active NPI

Elder Care Behavioral Health Services PLLC

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1376185298
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ELDER CARE BEHAVIORAL HEALTH SERVICES PLLC
Practice address
10410 Doherty SPG
San Antonio, TX 78255-1041
Phone
(210) 395-4520
Fax
(210) 395-4521
NPI assigned
Oct 11, 2019
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Straight Line ArlaNPI 1962660068
Title
MD/Owner
Phone
(210) 395-4520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

10410 Doherty SPG
San Antonio, TX 78255-1041

Mailing address

10410 Doherty SPG
San Antonio, TX 78255-1041
Phone (210) 395-4520

Other practice location 1

548 Presido Parkway
San Antonio, TX 78249
Phone (210) 839-2199

Other practice location 2

4243 Thousand Oaks Dr
San Antonio, TX 78217-1801
Phone (210) 656-7052

Other practice location 3

8245 Old Tezel Rd
San Antonio, TX 78250-3033
Phone (210) 849-7703

Other practice location 4

3220 N Loop 1604 W
Shavano Park, TX 78231-4401
Phone (210) 492-4040

Other practice location 5

15170 Nacogdoches Rd
San Antonio, TX 78247-1212
Phone (210) 849-7703

Other practice location 6

5034 Newforest Dr
San Antonio, TX 78229-5459
Phone (210) 680-3649

Other practice location 7

8700 Post Oak Ln
San Antonio, TX 78217-5170
Phone (210) 829-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200504001337 TX Part B Supplier - Clinic/Group Practice 9133556160 Receives reassigned benefits from 10 practitioners
Practice locations: Taylor, TX; Schertz, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

10506 Wayward Dr
San Antonio, TX 78217
Phone (210) 621-3685

15170 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 584-4238

15420 Nacogdoches Rd
#Four
San Antonio, TX 78247
Phone (210) 767-3870

20271 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 497-5200

6538 Eckhert Rd
San Antonio, TX 78240
Phone (210) 446-2120

8245 Old Tezel Rd
San Antonio, TX 78250
Phone (210) 584-4238

1810 Old Granger
#S
Taylor, TX 76574
Phone (512) 352-6337

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1376185298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 DOHERTY SPG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782551041",
            "telephone_number": "210-395-4520",
            "fax_number": "210-395-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 DOHERTY SPG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782551041",
            "telephone_number": "210-395-4520",
            "fax_number": "210-395-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "548 Presido Parkway",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78249",
            "country_code": "US",
            "telephone_number": "210-839-2199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4243 Thousand Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782171801",
            "country_code": "US",
            "telephone_number": "210-656-7052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8245 Old Tezel Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503033",
            "country_code": "US",
            "telephone_number": "210-849-7703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 N Loop 1604 W",
            "address_purpose": "LOCATION",
            "city": "Shavano Park",
            "state": "TX",
            "postal_code": "782314401",
            "country_code": "US",
            "telephone_number": "210-492-4040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15170 Nacogdoches Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782471212",
            "country_code": "US",
            "telephone_number": "210-849-7703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5034 Newforest Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295459",
            "country_code": "US",
            "telephone_number": "210-680-3649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Post Oak Ln",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175170",
            "country_code": "US",
            "telephone_number": "210-829-7357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELDER CARE BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "ARLA",
        "authorized_official_first_name": "STRAIGHT LINE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "210-395-4520"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "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 Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.