Individual provider Active NPI

Robert A. Zachary, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1710909015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-3512 Issued in TX
Practice address
21 Lynn Batts Ste 11
San Antonio, TX 78218-3079
Phone
(210) 829-1994
Fax
(210) 829-8788
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2-3512 TX Primary

Addresses

Primary practice location

21 Lynn Batts Ste 11
San Antonio, TX 78218-3079

Mailing address

21 Lynn Batts Ste 11
San Antonio, TX 78218-3079
Phone (210) 829-1994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2-3512TXMDClinical Psychologist
23512TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald C. McCann, PH.D., P.C. Clinical PastSince Jul 13, 2003 Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710909015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LYNN BATTS STE 11",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183079",
            "telephone_number": "210-829-1994",
            "fax_number": "210-829-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LYNN BATTS STE 11",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183079",
            "telephone_number": "210-829-1994",
            "fax_number": "210-829-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.