Active NPI
Genevieve Mariah Rebon, DO
- Psychiatry Physician
- San Antonio, TX
National Provider Identifier
1679153654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- U0833
- Practice address
- 250 E Basse Rd Ste 206
San Antonio, TX 78209-8409 - Phone
- (210) 826-7447
- NPI assigned
- Apr 13, 2021
- Last updated
- Sep 10, 2025
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | U0833 | TX | Primary |
Addresses
Primary practice location
250 E Basse Rd Ste 206
San Antonio, TX 78209-8409
Mailing address
4301 Broadway # St121
San Antonio, TX 78209-6318
Phone (210) 619-7105
Other names 1
- Genevieve Mariah Martin
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U0833 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Recovery Center of Texas | Current | Accepting new patients | |
| Central Texas Nutrition Consultants | Past | Accepting new patients |
Locations
250 E Basse Rd
Ste 206
San Antonio, TX 78209
Phone (210) 826-7447
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- San Antonio, TX
- NPI 1821279779
-
- Registered Dietitian
- Austin, TX
- NPI 1720105919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1679153654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 BROADWAY # ST121",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782096318",
"telephone_number": "210-619-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E BASSE RD STE 206",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782098409",
"telephone_number": "210-826-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBON",
"first_name": "GENEVIEVE",
"middle_name": "MARIAH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "U0833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENEVIEVE",
"last_name": "MARTIN",
"middle_name": "MARIAH",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 10, 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.