Active NPI
Sara Ruth Stevenson
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1659573756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32427
- Legal business name
- SARA RUTH STEVENSON
- Practice address
- 5625 Broadway St
San Antonio, TX 78209-5719 - Phone
- (210) 822-7321
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sara Ruth Stevenson, PHD
- Title
- Owner
- Phone
- (210) 822-7321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32427 | TX | Primary |
Addresses
Primary practice location
5625 Broadway St
San Antonio, TX 78209-5719
Mailing address
5625 Broadway St
San Antonio, TX 78209-5719
Phone (210) 822-7321
National Provider Directory
National Provider DirectoryLocations
5625 Broadway
San Antonio, TX 78209
Phone (210) 227-6815
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- San Antonio, TX
- NPI 1932128501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659573756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 BROADWAY ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095719",
"telephone_number": "210-822-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 BROADWAY ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782095719",
"telephone_number": "210-822-7321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA RUTH STEVENSON",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-822-7321",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32427",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.