Pernicano Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PERNICANO PSYCHOLOGICAL SERVICES, PLLC

Practice address

8800 Village Dr Ste 209
San Antonio, TX 78217-5420

Phone

(210) 202-0100

NPI assigned

Feb 22, 2020

Organization subpart

No

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

Authorized official

Name

Patricia Pernicano, LP

Title

Ownder

Phone

(502) 649-0697

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582329600000",
    "number": "1386278935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 VILLAGE DR STE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175420",
            "telephone_number": "210-202-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 VILLAGE DR STE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175420",
            "telephone_number": "210-202-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERNICANO PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A",
        "authorized_official_last_name": "PERNICANO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "502-649-0697",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200878100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Seth Perlman, M.D.
• Kendall Perlwitz, CRNA
• Kevin Tyler Permann, PHARMD
• Senta Pernell, DENTAL HYGIENST
• Pernicano Professional Psychology, PLLC
• Kevin Michael Pernicano, PHD
• Abby Marie Perone, D.C.
• Miranda Elyse Perotti, RN IBCLC
• Peter Timothy Perretta, M.D.
• Catherine Renee Perri, LCSW

• 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 Feb 22, 2020; 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.