Janyna Marie Mercado, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

32917 Issued in TX

Practice address

19016 Stone Oak Pkwy Ste 210
San Antonio, TX 78258-3281

Phone

(210) 860-9622

Fax

(844) 404-6016

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuropsychological Institute of San Antonio PLLCGroup PAC ID 7214340678, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Neuropsychological Institute of San Antonio PLLC

  • Clinical Neuropsychologist
  • San Antonio, TX
  • NPI 1891381331
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1679556930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583281",
            "telephone_number": "210-860-9622",
            "fax_number": "844-404-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583281",
            "telephone_number": "210-860-9622",
            "fax_number": "844-404-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JANYNA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "32917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0035PB",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "32917",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria-Gisela Mercado-Deane, M.D.
• Albert Alexander Mercado
• Angelei Guzman Mercado, FNP
• Autumn Mercado
• Connie Mercado
• Johnny Mercado
• Karina Mercado, PHYSICIAN ASSISTANT
• Leah Albano Mercado, MD
• Michelle Mercado, MD
• Rafael L Mercado, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.