Active NPI
Lisa Kearney, PH.D.
- Psychologist
- San Antonio, TX
National Provider Identifier
1740380989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32834
- Practice address
- 7400 Merton Minter Blvd
Mail Stop #116B
San Antonio, TX 78229 - Phone
- (210) 699-2129
- Fax
- (210) 949-3301
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32834 | TX | Primary |
Addresses
Primary practice location
7400 Merton Minter Blvd
Mail Stop #116B
San Antonio, TX 78229
Mailing address
3043 Colony Drive
San Antonio, TX 78230
Phone (210) 699-2129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32834 | Other | TX | PSYCHOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32834 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740380989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 COLONY DRIVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78230",
"telephone_number": "210-699-2129",
"fax_number": "210-949-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD",
"address_2": "MAIL STOP #116B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78229",
"telephone_number": "210-699-2129",
"fax_number": "210-949-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "32834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "32834",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.