Individual provider Active NPI

Stephanie Triana, PH.D.

  • Cognitive & Behavioral Psychologist
  • San Antonio, TX
National Provider Identifier
1710170162
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
36505 Issued in TX
Practice address
1848 Lockhill Selma Rd
Ste 102
San Antonio, TX 78213-1566
Phone
(210) 346-0775
Fax
(210) 775-0088
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 36505 TX Primary

Addresses

Primary practice location

1848 Lockhill Selma Rd
Ste 102
San Antonio, TX 78213-1566

Mailing address

21015 La Pena Dr
San Antonio, TX 78258-2935
Phone (210) 346-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140314000250 TX Practitioner - Clinical Psychologist 6800026899 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21015 La Pena Dr
San Antonio, TX 78258-2935
Phone (210) 346-0775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Triana, PH.D. CurrentSince Apr 22, 2017 Accepting new patients
Stephanie Triana, PH.D. LLC CurrentSince Oct 4, 2017 Accepting new patients

Locations

1846 Lockhill Selma Rd
Ste 106
San Antonio, TX 78213
Phone (210) 346-0775

1848 Lockhill Selma Rd
Ste 102
San Antonio, TX 78213
Phone (210) 346-0775

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1710170162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 LA PENA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582935",
            "telephone_number": "210-346-0775",
            "fax_number": "210-775-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 LOCKHILL SELMA RD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131566",
            "telephone_number": "210-346-0775",
            "fax_number": "210-775-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANA",
        "first_name": "STEPHANIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "36505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.