Active NPI
Fernando Jorge Obledo, PH.D.
- Clinical Psychologist
- San Antonio, TX
National Provider Identifier
1669589412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-2935
- Practice address
- 7711 Louis Pasteur Dr
Suite 812
San Antonio, TX 78229-3415 - Phone
- (210) 692-3711
- Fax
- (210) 692-7435
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2935 | TX | |
| Clinical Psychologist | 103TC0700X | 2-2935 | TX | Primary |
Addresses
Primary practice location
7711 Louis Pasteur Dr
Suite 812
San Antonio, TX 78229-3415
Mailing address
7711 Louis Pasteur Dr
Suite 812
San Antonio, TX 78229-3415
Phone (210) 692-3711
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2935 | TX | MD | Behavioral Analyst |
| 2-2935 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary L Penny MD P a | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1295032548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669589412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 LOUIS PASTEUR DR",
"address_2": "SUITE 812",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293415",
"telephone_number": "210-692-3711",
"fax_number": "210-692-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 LOUIS PASTEUR DR",
"address_2": "SUITE 812",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293415",
"telephone_number": "210-692-3711",
"fax_number": "210-692-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBLEDO",
"first_name": "FERNANDO",
"middle_name": "JORGE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2935",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-2935",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.