Active NPI
Amber Marie Fahey, PH.D.
- Clinical Neuropsychologist
- Jbsa Randolph, TX
National Provider Identifier
1568052702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0005450
- Practice address
- 221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800 - Phone
- (210) 652-2443
- NPI assigned
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0005450 | CO | Primary |
Addresses
Primary practice location
221 3Rd St W BLDG 1040
Jbsa Randolph, TX 78150-4800
Mailing address
13006 Larklair St
San Antonio, TX 78233-5016
Phone (619) 681-3534
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005450 | CO | MD | Clinical Neuropsychologist |
| 39026 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychological Institute of San Antonio PLLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
19016 Stone Oak Pkwy
Ste 210
San Antonio, TX 78258
Phone (210) 404-9950
19016 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 490-0353
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 and National Provider Directory roles.
-
- Clinical Neuropsychologist
- San Antonio, TX
- NPI 1891381331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1568052702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13006 LARKLAIR ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782335016",
"telephone_number": "619-681-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 3RD ST W BLDG 1040",
"city": "JBSA RANDOLPH",
"state": "TX",
"postal_code": "781504800",
"telephone_number": "210-652-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "0005450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Randolph, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.