Active NPI
Innova Peace
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1457281271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2026
- 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
- Scott Street, MD
- Title
- Owner
- Phone
- (210) 254-3618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Psychologist
- Portsmouth, VA
- NPI 1407012453
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": []
}
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- Megan Inniss-Thompson, OTR
- Innova Recovery, PLLC (Innova Recovery Center)
- Innovations Home Health LLC
- Innovative Dialysis Solutions at Home of Devine
- Innovative Genomics LLC
- Innovative Health & Wellness LLC San Antonio Series
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.