Organization Active NPI

Psychotherapeutic Services

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1497438477
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PSYCHOTHERAPEUTIC SERVICES
Practice address
19179 Blanco Rd Ste
San Antonio, TX 78258-4009
Phone
(951) 900-3034
Fax
(951) 344-8293
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Mr. Isaac Carreon, PH.D.
Title
Owner
Phone
(562) 334-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

19179 Blanco Rd Ste
San Antonio, TX 78258-4009

Mailing address

5838 Fort Stanwix St
San Antonio, TX 78233-5113
Phone (951) 900-3034

National Provider Directory

National Provider Directory

Locations

19179 Blanco Rd
San Antonio, TX 78258
Phone (951) 900-3034

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1497438477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 FORT STANWIX ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335113",
            "telephone_number": "951-900-3034",
            "fax_number": "951-344-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19179 BLANCO RD STE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584009",
            "telephone_number": "951-900-3034",
            "fax_number": "951-344-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-334-5055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Nov 9, 2023; 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.