Organization Active NPI

Hill Country Pediatric Psychiatry PLLC

  • Child & Adolescent Psychiatry Physician
  • Boerne, TX
National Provider Identifier
1407594062
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
HILL COUNTRY PEDIATRIC PSYCHIATRY PLLC
Practice address
26254 Interstate 10 W Ste 140
Boerne, TX 78006-6503
Phone
(210) 455-0444
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Dr. Julia Jackson, MDNPI 1407888068
Title
Owner/Child & Adol Psychiatrist
Phone
(210) 455-0444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

26254 Interstate 10 W Ste 140
Boerne, TX 78006-6503

Mailing address

26254 Interstate 10 W Ste 140
Boerne, TX 78006-6503
Phone (210) 455-0444

National Provider Directory

National Provider Directory

Locations

26254 Interstate 10 W
Ste 140
Boerne, TX 78006
Phone (210) 455-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1407594062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26254 INTERSTATE 10 W STE 140",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066503",
            "telephone_number": "210-455-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26254 INTERSTATE 10 W STE 140",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066503",
            "telephone_number": "210-455-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY PEDIATRIC PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER/CHILD & ADOL PSYCHIATRIST",
        "authorized_official_telephone_number": "210-455-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "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 Dec 14, 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.