NPIMap

Organization Active NPI

Med Management Associates

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1508233040
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H7262 Issued in TX
Legal business name
MED MANAGEMENT ASSOCIATES
Practice address
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone
(888) 365-6271
Fax
(210) 593-9863
NPI assigned
Sep 1, 2015
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Paul A Boskind, PHDNPI 1780761544
Title
Ceo-Owner
Phone
(888) 365-6271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H7262 TX Primary

Addresses

Primary practice location

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801

Mailing address

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (888) 365-6271

Other practice location 1

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (210) 615-3483 ext. 483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104000560 TX Part B Supplier - Clinic/Group Practice 7810299187 Receives reassigned benefits from 101 practitioners
Practice locations: Frisco, TX; Garland, TX; Houston, TX; Hurst, TX; Irving, TX; Kerrville, TX; Lancaster, TX; McKinney, TX…

National Provider Directory

National Provider Directory

Locations

1800 13th St
Bay City, TX 77414
Phone (979) 245-6327

3505 S Buckner Blvd
Bldg 2
Dallas, TX 75227
Phone (214) 381-1815

1208 N Llano St
#1
Fredericksburg, TX 78624
Phone (830) 997-5349

1350 Main St
Frisco, TX 75033
Phone (214) 705-9108

800 N Commerce St
Granger, TX 76530
Phone (512) 859-2800

2001 Kirkwood Blvd
Southlake, TX 76092
Phone (817) 562-1648

Practitioners & affiliated clinicians

Practitioners 104

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.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1508233040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "888-365-6271",
            "fax_number": "210-593-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 WURZBACH RD",
            "address_2": "SUITE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404801",
            "telephone_number": "888-365-6271",
            "fax_number": "210-593-9863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7272 Wurzbach Rd",
            "address_2": "Suite 601",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782404801",
            "country_code": "US",
            "telephone_number": "210-615-3483 x483",
            "fax_number": "210-593-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED MANAGEMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "BOSKIND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "888-365-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H7262",
            "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 Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.