Active NPI
Rose Ann McDonald, PSYD
- Psychologist
- San Antonio, TX
National Provider Identifier
1457386633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 24313
- Practice address
- 5108 Broadway St
Room 237
San Antonio, TX 78209-5746 - Phone
- (210) 882-7696
- Fax
- (210) 832-9053
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 24313 | TX | Primary |
Addresses
Primary practice location
5108 Broadway St
Room 237
San Antonio, TX 78209-5746
Mailing address
5108 Broadway St
Room 237
San Antonio, TX 78209-5746
Phone (210) 882-7696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24313 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Past | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Past | Accepting new patients | |
| Santa Rosa Family Health Center | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Deer Oaks Consultation Services
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
dba Santa Rosa Family Practice Residency Program
- Family Medicine Physician
- San Antonio, TX
- NPI 1679572804
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1457386633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 BROADWAY ST",
"address_2": "ROOM 237",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095746",
"telephone_number": "210-882-7696",
"fax_number": "210-832-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 BROADWAY ST",
"address_2": "ROOM 237",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095746",
"telephone_number": "210-882-7696",
"fax_number": "210-832-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ROSE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "24313",
"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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.