Texas Psychological and Consultation Services PLLC

Organization Active NPI Clinical Psychologist · San Antonio, TX

NPI 1689928186 · NPPES record last updated Jun 19, 2020

Key facts

NPI
1689928186
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
Legal business name
TEXAS PSYCHOLOGICAL AND CONSULTATION SERVICES PLLC
Practice address
21031 Market RDG
San Antonio, TX 78258-2483
Phone
(210) 233-6148
Fax
(210) 399-8721
NPI assigned
Nov 5, 2012
Organization subpart
No

Authorized official

Name
Timothy Kimball, PHD
Title
Manager
Phone
(210) 233-6148

Practitioners 1

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

National Provider Directory

Locations

21031 Market Rdg
San Antonio, TX 78258
Phone (210) 233-6148

4323 Factory Hill St
San Antonio, TX 78219
Phone (210) 646-1707

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103T00000X 34699 TX
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X 34699 TX
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X Yes
Clinical Child & Adolescent Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC2200X 34699 TX

Addresses

Primary practice location

21031 Market RDG
San Antonio, TX 78258-2483

Mailing address

21031 Market RDG
San Antonio, TX 78258-2483
Phone (210) 233-6148

Other practice location 1

2202 S 77 Sunshinestrip Ste D
Harlingen, TX 78550-8332
Phone (956) 230-4297

Other identifiers

IdentifierTypeStateIssuer
310158601MedicaidTX
3101586MedicaidTX
310158602MedicaidTX

Other names

  • TPACS Other name

Other providers in San Antonio, TX

All providers in San Antonio, TX · Clinical Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.