John Nila Enriquez, PSYCHIATRIST MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H8632 Issued in TX

Practice address

343 W Houston
702
San Antonio, TX 78205

Phone

(210) 277-1002

Fax

(210) 277-1183

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbh.johnenriquez@136732.advancedmd-direct.com

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.

• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238

  Psychiatry

  Medicare reassignment Care Compare group NPD
• John N.Enriquez MD PLLC

  dba John N.Enriquez

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1871936393
  Authorized official Same address or phone
• Border Region MH Mr Community Center

  • Psychiatry Physician
  • Laredo, TX
  • NPI 1124060173
  NPD (past)
• Bridget Morenoapn-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1306269949
  NPD (past)
• City of Laredo

  dba City of Laredo Detox Center

  • Substance Abuse Rehabilitation Facility
  • Laredo, TX
  • NPI 1952174419
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548368384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON",
            "address_2": "702",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-277-1002",
            "fax_number": "210-277-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON",
            "address_2": "702",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78205",
            "telephone_number": "210-277-1002",
            "fax_number": "210-277-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JOHN",
        "middle_name": "NILA",
        "name_prefix": "Mr.",
        "credential": "PSYCHIATRIST MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H8632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123000504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Enriquez
• Diana Enriquez, RPH
• Gabriela Enriquez
• Gerardo Pugal Enriquez, MD
• Ian Marco Enriquez, DO
• Jose Enriquez Jr.
• Linda Enriquez
• Maria A Enriquez
• Martin Daniel Enriquez Jr., RN
• Omar Enriquez, MD

• Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.