Organization Active NPI

Neuro Psychiatric & Behavioral Rehabilitation Practitioners Associatio

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Antonio, TX
National Provider Identifier
1699241513
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
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

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Shanequia Deshawn ClemonsNPI 1831605765
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)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.