Organization Active NPI

Salado Creek Mental Health

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1760164339
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SALADO CREEK MENTAL HEALTH
Practice address
14100 San Pedro Ave Ste 618
San Antonio, TX 78232-2009
Phone
(210) 405-3008
Fax
(210) 512-9583
NPI assigned
Aug 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Kimberly Fields Giberga, FNP-C, PMHNP-BCNPI 1114250651
Title
Ceo
Phone
(210) 445-2498

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

14100 San Pedro Ave Ste 618
San Antonio, TX 78232-2009

Mailing address

14100 San Pedro Ave Ste 618
San Antonio, TX 78232-2009
Phone (210) 405-3008

National Provider Directory

National Provider Directory

Locations

14100 San Pedro Ave
Ste 618
San Antonio, TX 78232
Phone (210) 405-3008

14100 San Pedro Ave
Ste 501
San Antonio, TX 78232
Phone (210) 405-3008

14100 San Pedro Ave
Ste 320
San Antonio, TX 78232
Phone (210) 405-3008

Practitioners & affiliated clinicians

Practitioners 3

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": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1760164339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 618",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-405-3008",
            "fax_number": "210-512-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 618",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-405-3008",
            "fax_number": "210-512-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALADO CREEK MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GIBERGA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "FIELDS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-445-2498",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 Nov 12, 2024; 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.