Individual provider Active NPI

Chelsy Thornton, PHD

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1518659119
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39692 Issued in TX
Practice address
1010 Central Pkwy S
San Antonio, TX 78232-5021
Phone
(210) 314-3476
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39692 TX Primary

Addresses

Primary practice location

1010 Central Pkwy S
San Antonio, TX 78232-5021

Mailing address

1010 Central Pkwy S
San Antonio, TX 78232-5021
Phone (210) 878-9977

Other names 1

  • Chelsy Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905002698 TX Practitioner - Clinical Psychologist 5395108591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39692TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Behavioral Health, P.a. Clinical CurrentSince Aug 21, 2023 Accepting new patients

Locations

3305 81st St
Ste H
Lubbock, TX 79423
Phone (806) 748-6400

1010 Central Pkwy S
San Antonio, TX 78232
Phone (210) 255-1499

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1518659119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-878-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CENTRAL PKWY S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325021",
            "telephone_number": "210-314-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CHELSY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSY",
            "last_name": "SIMMONS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.