NPIMap

Organization Active NPI

Health and Human Services Commission

Doing business as San Antonio State Hospital

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1811907983
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEALTH AND HUMAN SERVICES COMMISSION
Doing business as
San Antonio State Hospital
Practice address
6711 S New Braunfels Avenue
Suite 100
San Antonio, TX 78223-3005
Phone
(210) 531-7805
Fax
(210) 531-7796
NPI assigned
Aug 9, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Kristy Carr
Title
Associate Commissioner
Phone
(512) 814-9642

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Physician Assistant 363A00000X TX
Nurse Practitioner 363L00000X TX
Clinical Nurse Specialist 364S00000X TX
Psychologist 103T00000X TX Primary
Clinical Psychologist 103TC0700X TX
Pharmacist 183500000X TX
Forensic Psychiatry Physician 2084F0202X TX
Neurology Physician 2084N0400X TX
Psychiatry Physician 2084P0800X TX
Child & Adolescent Psychiatry Physician 2084P0804X TX
Geriatric Psychiatry Physician 2084P0805X TX
General Practice Physician 208D00000X TX

Addresses

Primary practice location

6711 S New Braunfels Avenue
Suite 100
San Antonio, TX 78223-3005

Mailing address

701 W 51St St
Austin, TX 78751-2312
Phone (512) 438-5618

Other identifiers 9

IdentifierTypeStateIssuer
HH3015OtherTXBCBS DRUG/ALCOHOL
4589012OtherTXPHARMACY NCPDP NUMBER
0827974-01MedicaidTX
HH4763OtherTXBCBS PSYCHIATRIC
1387060-04MedicaidTX
1387060-05MedicaidTX
1387060-07MedicaidTX
0638264-01MedicaidTX
1387060-06MedicaidTX

Other names 1

  • San Antonio State Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908001058 TX Part B Supplier - Clinic/Group Practice 2163795824 Receives reassigned benefits from 462 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lubbock, TX; Mexia, TX; Pollock, TX; Richmond, TX; Rusk, TX; San Antonio, TX; Terrell, TX; Vernon, TX…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
HHSC Wic Program56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312

6711 S New Braunfels Ave
Ste 1
San Antonio, TX 78223
Phone (210) 532-8811

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1811907983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 51ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512312",
            "telephone_number": "512-438-5618",
            "fax_number": "512-438-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVENUE",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233005",
            "telephone_number": "210-531-7805",
            "fax_number": "210-531-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND HUMAN SERVICES COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "ASSOCIATE COMMISSIONER",
        "authorized_official_telephone_number": "512-814-9642"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DRUG/ALCOHOL",
            "identifier": "HH3015",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NCPDP NUMBER",
            "identifier": "4589012",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827974-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCHIATRIC",
            "identifier": "HH4763",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387060-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387060-05",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387060-07",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638264-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387060-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio State Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Antonio State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.