NPIMap

Organization Active NPI

Melissa McVicker PHD LMFT PLLC

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1689268161
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MELISSA MCVICKER PHD LMFT PLLC
Practice address
21015 Market RDG
San Antonio, TX 78258-4978
Phone
(210) 570-4886
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Dr. Melissa L McVicker, PHD LMFTNPI 1972865210
Title
Owner
Phone
(210) 570-4886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

21015 Market RDG
San Antonio, TX 78258-4978

Mailing address

21015 Market RDG
San Antonio, TX 78258-4978

National Provider Directory

National Provider Directory

Locations

21015 Market Rdg
San Antonio, TX 78258
Phone (210) 496-0100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1689268161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 MARKET RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 MARKET RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584978",
            "telephone_number": "210-570-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA MCVICKER PHD LMFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MCVICKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-570-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Feb 24, 2021; 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.