Active NPI
Neuro Psychiatric & Behavioral Rehabilitation Practitioners Associatio
- Behavioral Neurology & Neuropsychiatry Physician
- San Antonio, TX
National Provider Identifier
1699241513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- NEURO PSYCHIATRIC & BEHAVIORAL REHABILITATION PRACTITIONERS ASSOCIATIO
- Practice address
- 534 Hunt LN
San Antonio, TX 78245-2333 - Phone
- (210) 606-2319
- NPI assigned
- Oct 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shanequia Deshawn Clemons
- Title
- Neuropsych Rehab Practitioner
- Phone
- (281) 826-0080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary |
Addresses
Primary practice location
534 Hunt LN
San Antonio, TX 78245-2333
Mailing address
534 Hunt LN
San Antonio, TX 78245-2333
Phone (210) 606-2319
Other practice location 1
19547 Rippling Brook Ln
Tomball, TX 77375-7603
Phone (210) 606-2319
Other practice location 2
2002 Holcombe Blvd
Houston, TX 77030-4211
Phone (210) 606-2319
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Practitioner
- Lackland AFB, TX
- NPI 1831605765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659657600000",
"number": "1699241513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 HUNT LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782452333",
"telephone_number": "210-606-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 HUNT LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782452333",
"telephone_number": "210-606-2319"
}
],
"practiceLocations": [
{
"address_1": "19547 Rippling Brook Ln",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "773757603",
"country_code": "US",
"telephone_number": "210-606-2319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2002 Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304211",
"country_code": "US",
"telephone_number": "210-606-2319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEURO PSYCHIATRIC & BEHAVIORAL REHABILITATION PRACTITIONERS ASSOCIATIO",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-18",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A",
"authorized_official_last_name": "CLEMONS",
"authorized_official_first_name": "SHANEQUIA",
"authorized_official_middle_name": "DESHAWN",
"authorized_official_title_or_position": "NEUROPSYCH REHAB PRACTITIONER",
"authorized_official_telephone_number": "281-826-0080",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"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 Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.