Active NPI
Anita Mancini-Michell, PSY.D
- Psychologist
- San Antonio, TX
National Provider Identifier
1669758124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32383
- Practice address
- 6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223-3005 - Phone
- (210) 532-8811
- Fax
- (210) 531-8172
- NPI assigned
- Oct 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32383 | TX | Primary |
Addresses
Primary practice location
6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223-3005
Mailing address
6711 S. New Braunfels
Ste 100
San Antonio, TX 78223-3002
Phone (210) 532-8811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32383 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1669758124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 S. NEW BRAUNFELS",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782233002",
"telephone_number": "210-532-8811",
"fax_number": "210-531-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 S NEW BRAUNFELS AVE",
"address_2": "STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782233005",
"telephone_number": "210-532-8811",
"fax_number": "210-531-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINI-MICHELL",
"first_name": "ANITA",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "32383",
"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 Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.