Individual provider Active NPI

Nathan S. Johnston

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1619232113
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q6755 Issued in TX
Practice address
23119 W Interstate 10 BLDG 7
San Antonio, TX 78257-1767
Phone
(210) 994-6336
Fax
(210) 994-6441
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q6755 TX Primary
Psychiatry Physician 2084P0800X OP61563295 WA

Addresses

Primary practice location

23119 W Interstate 10 BLDG 7
San Antonio, TX 78257-1767

Mailing address

23119 W Interstate 10 BLDG 7
San Antonio, TX 78257-1767
Phone (210) 994-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200512000791 TX Practitioner - Psychiatry 7911283304 Reassigns benefits to 1 organization
I20250210002983 WA Practitioner - Psychiatry 7911283304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23119 Ih 10
BLDG 7
San Antonio, TX 78257-1767
Phone (210) 994-6336

509 Olive Way
Suite 1138
Seattle, WA 98101-1724
Phone (210) 900-0767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6755TXMDPsychiatry Physician
OP61563295WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Mental Health TMS PLLC Psychiatry CurrentSince Apr 1, 2020 Accepting new patients
Phoenix Mental Health TMS Psychiatry PastSince Apr 17, 2020 Accepting new patients

Locations

23103 W Interstate 10
Ste 107
San Antonio, TX 78257

23119 W Interstate 10
Bldg 7
San Antonio, TX 78257
Phone (210) 756-3238

19707 Ih 10 W
Ste 314
San Antonio, TX 78257
Phone (210) 992-6336

5282 Medical Dr
Ste 602
San Antonio, TX 78229
Phone (210) 994-6336

509 Olive Way
Seattle, WA 98101
Phone (206) 622-9215

509 Olive Way
Ste 1138
Seattle, WA 98101
Phone (206) 682-0757

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1619232113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 BLDG 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571767",
            "telephone_number": "210-994-6336",
            "fax_number": "210-994-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 BLDG 7",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571767",
            "telephone_number": "210-994-6336",
            "fax_number": "210-994-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NATHAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q6755",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "OP61563295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.