NPIMap

Organization Active NPI

Cantera Psychiatry, PLLC

Doing business as Cantera Psychiatry

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1629435110
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q2556 Issued in TX
Legal business name
CANTERA PSYCHIATRY, PLLC
Doing business as
Cantera Psychiatry
Practice address
85 NE Loop 410 Ste 420
San Antonio, TX 78216-5836
Phone
(210) 960-4352
Fax
(833) 471-4781
NPI assigned
Jan 28, 2016
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Jennifer Burrell, BILLER
Title
Clinical Director
Phone
(210) 960-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Q2556 TX Primary

Addresses

Primary practice location

85 NE Loop 410 Ste 420
San Antonio, TX 78216-5836

Mailing address

85 NE Loop 410 Ste 420
San Antonio, TX 78216-5836
Phone (210) 960-4352

Other names 1

  • Cantera Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160516001937 TX Part B Supplier - Clinic/Group Practice 1456640325 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

5805 Callaghan Rd
Ste 204
San Antonio, TX 78228
Phone (210) 481-8673

85 NE Loop 410
Ste 420
San Antonio, TX 78216
Phone (210) 960-4352

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1629435110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NE LOOP 410 STE 420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165836",
            "telephone_number": "210-960-4352",
            "fax_number": "210-960-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NE LOOP 410 STE 420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165836",
            "telephone_number": "210-960-4352",
            "fax_number": "833-471-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERA PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "210-960-4352",
        "authorized_official_credential": "BILLER"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cantera Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cantera Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.