Organization Active NPI

Perez Clinical Psychotherapy

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1407625007
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEREZ CLINICAL PSYCHOTHERAPY
Practice address
2121 Lockhill Selma Rd
San Antonio, TX 78213-1410
Phone
(210) 392-5369
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Emily Marie Perez, LCSW-SNPI 1699312819
Title
Owner
Phone
(210) 392-5369

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2121 Lockhill Selma Rd
San Antonio, TX 78213-1410

Mailing address

4226 Tall Elm Woods
San Antonio, TX 78249-2036
Phone (210) 392-5369

National Provider Directory

National Provider Directory

Locations

2121 Lockhill Selma Rd
San Antonio, TX 78213
Phone (210) 481-4120

Practitioners & affiliated clinicians

Practitioners 2

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1407625007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 TALL ELM WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492036",
            "telephone_number": "210-392-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LOCKHILL SELMA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131410",
            "telephone_number": "210-392-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ CLINICAL PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-392-5369",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "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 Jun 27, 2024; 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.