Active NPI
Jacqueline D Faison-Harry, PHD
- Psychologist
- San Antonio, TX
National Provider Identifier
1619496478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 022357
- Practice address
- 600 N Loop 1604 E
San Antonio, TX 78232-1268 - Phone
- (210) 239-0066
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY.0006778 | CO | |
| Psychologist | 103T00000X | PY12803 | FL | |
| Psychologist | 103T00000X | 40826 | TX | |
| Psychologist | 103T00000X | 071.022484 | IL | |
| Psychologist | 103T00000X | 022357 | NY | Primary |
Addresses
Primary practice location
600 N Loop 1604 E
San Antonio, TX 78232-1268
Mailing address
5769 Galloping Dr
Apopka, FL 32712-6085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1619496478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5769 GALLOPING DR",
"city": "APOPKA",
"state": "FL",
"postal_code": "327126085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N LOOP 1604 E",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321268",
"telephone_number": "210-239-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAISON-HARRY",
"first_name": "JACQUELINE",
"middle_name": "D",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "PSY.0006778",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY12803",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "40826",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071.022484",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "022357",
"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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.