Individual provider Active NPI

Ronald Brent Farnsworth, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1679587109
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
4201 Medical Dr Ste 330
San Antonio, TX 78229-5805
Phone
(210) 614-4990
Fax
(210) 614-4991
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 002055 CT
Psychologist 103T00000X Primary

Addresses

Primary practice location

4201 Medical Dr Ste 330
San Antonio, TX 78229-5805

Mailing address

15318 McKays Lark
San Antonio, TX 78253-6507
Phone (203) 641-1995

Other practice location 1

3018 Dixwell Avenue
Hamden, CT 06518
Phone (203) 288-3554 ext. 17

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quinnipiac Psychological Services, LLC PastSince Apr 28, 2009 Accepting new patients
Vcounselors PLLC PastSince May 16, 2022 Accepting new patients
Behavioral Health Consultants, LLC Psychologist PastSince May 7, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1679587109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15318 MCKAYS LARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536507",
            "telephone_number": "203-641-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295805",
            "telephone_number": "210-614-4990",
            "fax_number": "210-614-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3018 Dixwell Avenue",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "06518",
            "country_code": "US",
            "telephone_number": "203-288-3554 x17",
            "fax_number": "203-281-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "RONALD",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002055",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.