Kintsugi Cognitive PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KINTSUGI COGNITIVE PLLC

Practice address

11122 Wurzbach Rd Ste 201C
San Antonio, TX 78230-2575

Phone

(210) 660-8402

NPI assigned

Sep 17, 2026

Organization subpart

No

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

Authorized official

Name

Patricia Mojdara, PHD

Title

Cco

Phone

(210) 632-3950

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1629980404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 WURZBACH RD STE 201C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302575",
            "telephone_number": "210-660-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 WURZBACH RD STE 201C",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302575",
            "telephone_number": "210-660-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI COGNITIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "MOJDARA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "210-632-3950",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha C. Kinney
• Lisa Kinnie-Neal
• Janet M Kinnunen, OTR CHT
• Sasha Nichol Kinsey
• Randall Dolan Kinslow, PT, DPT
• Gertrude Kinyua, PHARMD
• Jake Kinzer, IONM
• Dustin Lee Kinzinger, RN
• Leah Kyler Kiolbassa
• Lydell Craig Kiplin, M.D.

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.