Alicia Patricia Mendoza-Bonewits

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22784 Issued in TX

Practice address

132 Pin Oak Forest St
San Antonio, TX 78232-2002

Phone

(210) 497-5602

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alicia Patricia Mendoza Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• A. Patrica Mendoza

  • Psychologist
  • San Antonio, TX
  • NPI 1205844891
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770604530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PIN OAK FOREST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322002",
            "telephone_number": "210-497-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PIN OAK FOREST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322002",
            "telephone_number": "210-497-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-BONEWITS",
        "first_name": "ALICIA",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097135002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MENDOZA",
            "middle_name": "PATRICIA",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Marie Mendiola, DDS
• Stephenie Mendiola
• Victor Ramon Mendiola, MD
• Ervin Mendlovitz, OD
• Vibeke Mendonca, LCSW
• Lorena Mendoza-Gibson, LPC
• Geneve Ann Mendoza-Olguin, FNP
• Albert Benjamin Mendoza
• Alejandra Mendoza
• Alexander Mendoza, D.O.

• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• 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.

Verify at the official NPI Registry.