Individual provider Active NPI

John A Maddoux, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1386159705
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37699 Issued in TX
Practice address
4100 E Piedras Dr Ste 165
San Antonio, TX 78228-2502
Phone
(210) 705-5060
NPI assigned
Dec 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2017042123 MO
Psychologist 103T00000X 37699 TX Primary

Addresses

Primary practice location

4100 E Piedras Dr Ste 165
San Antonio, TX 78228-2502

Mailing address

7901 Metropolis Dr
Austin, TX 78744-3111
Phone (512) 739-7332

Other practice location 1

6076 W Poly Webb Rd # 6043
Arlington, TX 76016
Phone (817) 533-0825

Other practice location 2

7901 Metropolis Dr
Austin, TX 78744-3111
Phone (512) 823-4000

Other practice location 3

2833 Babcock Rd Ste 435
San Antonio, TX 78229-4850
Phone (210) 705-5060

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
I20190124002133 TX Practitioner - Clinical Psychologist 4789921099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4100 E Piedras Dr
Suite 165
San Antonio, TX 78228-2502
Phone (210) 910-6653

6043 W Interstate 20
Arlington, TX 76017-1042
Phone (817) 533-0825

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017042123MOMDPsychologist
37699TXMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
R a Alvarado Medical PLLC CurrentSince May 1, 2020 Accepting new patients
Center for Psychological Services, PLLC Psychologist Current Accepting new patients
Center for Psychological Services, PLLC CurrentSince Jan 4, 2019 Accepting new patients

Locations

6043 W Interstate 20
Arlington, TX 76017
Phone (817) 533-0825

1307 8th Ave
Ste 310
Ft Worth, TX 76104
Phone (817) 533-0825

4100 E Piedras Dr
Ste 165
San Antonio, TX 78228
Phone (210) 910-6653

5804 Babcock Rd
San Antonio, TX 78240
Phone (210) 286-2703

Organizations & group practices 3

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1386159705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 METROPOLIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787443111",
            "telephone_number": "512-739-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR STE 165",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782282502",
            "telephone_number": "210-705-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6076 W Poly Webb Rd # 6043",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76016",
            "country_code": "US",
            "telephone_number": "817-533-0825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Metropolis Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787443111",
            "country_code": "US",
            "telephone_number": "512-823-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2833 Babcock Rd Ste 435",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294850",
            "country_code": "US",
            "telephone_number": "210-705-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOUX",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2017042123",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.