Active NPI
Advanced Psychological Services
- Psychologist
- San Antonio, TX
National Provider Identifier
1417666504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- ADVANCED PSYCHOLOGICAL SERVICES
- Practice address
- 8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217 - Phone
- (210) 202-0100
- NPI assigned
- Nov 17, 2022
- Last updated
- Nov 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Gulley, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (254) 262-6836
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | ||
| Counseling Psychologist | 103TC1900X | NU | ||
| Psychoanalysis Psychologist | 103TP0814X | NU | ||
| Group Psychotherapy Psychologist | 103TP2701X | NU |
Addresses
Primary practice location
8626 Tesoro Dr Ste 490
San Antonio, TX 78217-6217
Mailing address
109 Hidden Pond Dr
Adkins, TX 78101-2778
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668643200000",
"number": "1417666504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HIDDEN POND DR",
"city": "ADKINS",
"state": "TX",
"postal_code": "781012778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8626 TESORO DR STE 490",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176217",
"telephone_number": "210-202-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A",
"authorized_official_last_name": "GULLEY",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "254-262-6836",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Advanced Imaging Services, Inc
- Advanced Internal Medicine Practice PLLC
- Advanced Manual Therapy Center, Inc. (PainCare Physical Therapy)
- Advanced Orthopedic Designs, LLC
- Advanced Perioperative Services
- Advanced Psychological Services, PLLC
- Advanced Smile Care for Kids, PLLC (Scuba Smiles For Kids)
- Advanced Smile Care, LLC
- Advanced Surgery Center of San Antonio, LLC
- Advantage Behavioral Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.