Organization Active NPI

Promise Center for Autism, LLC

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1831512052
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11212352 Issued in TX
Legal business name
PROMISE CENTER FOR AUTISM, LLC
Practice address
20627 Saddle CP
San Antonio, TX 78259-2088
Phone
(915) 497-3598
Fax
(866) 811-2590
NPI assigned
Jan 23, 2014
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Ana Isabel OrtegaNPI 1801149042
Title
Board Certified Behavior Analyst
Phone
(915) 497-3598

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X 11212352 TX Primary

Addresses

Primary practice location

20627 Saddle CP
San Antonio, TX 78259-2088

Mailing address

20627 Saddle CP
San Antonio, TX 78259-2088

National Provider Directory

National Provider Directory

Locations

3700 Ridge Country St
San Antonio, TX 78247
Phone (210) 598-7212

7254 Blanco Rd
Ste 100
San Antonio, TX 78216
Phone (210) 598-7212

Practitioners & affiliated clinicians

Practitioners 129

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 129

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1831512052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20627 SADDLE CP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592088",
            "fax_number": "866-811-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20627 SADDLE CP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592088",
            "telephone_number": "915-497-3598",
            "fax_number": "866-811-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE CENTER FOR AUTISM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "915-497-3598"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "11212352",
            "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 Mar 22, 2022; 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.