Organization Active NPI

Innova Peace

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1457281271
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNOVA PEACE
Practice address
3502 Paesanos Pkwy
San Antonio, TX 78231-1297
Phone
(210) 254-3618
Fax
(210) 881-9022
NPI assigned
May 22, 2026
Last updated
May 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Scott Street, MD
Title
Owner
Phone
(210) 254-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

3502 Paesanos Pkwy
San Antonio, TX 78231-1297

Mailing address

3502 Paesanos Pkwy
San Antonio, TX 78231-1297
Phone (210) 254-3618

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1457281271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 PAESANOS PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311297",
            "telephone_number": "210-254-3618",
            "fax_number": "210-881-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 PAESANOS PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311297",
            "telephone_number": "210-254-3618",
            "fax_number": "210-881-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA PEACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-254-3618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 May 22, 2026; 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.