Active NPI
Psychotherapeutic Services
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1497438477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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 DirectoryLocations
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
- Psych Today Inc
- Psychfit360
- Psychiatric Associates of San Antonio
- Psychiatric Inpatient Management Services, PLLC
- Psychological Services, C.a.F.
- PT Home Services of San Antonio Inc
- PT Home Services of San Antonio, Inc.
- Alisa Leron Puatu
- Felipe Andres Pubillones, DO
- Daniela Estefania Puche Villalobos, SA-C
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.