Organization Active NPI

Advanced Psychological Services

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1417666504
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.