Individual provider Active NPI

Amber Johnson, PSYD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1851103592
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
40372 Issued in TX
Practice address
1350 N Loop 1604 E Ste 106
San Antonio, TX 78232-1425
Phone
(210) 614-4990
NPI assigned
Jan 21, 2025
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 40372 TX Primary

Addresses

Primary practice location

1350 N Loop 1604 E Ste 106
San Antonio, TX 78232-1425

Mailing address

227 Appleberry LN
Elgin, TX 78621-2424
Phone (773) 899-7963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212003391 TX Practitioner - Clinical Psychologist 0345770897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaniz Counseling and Behavioral Center PCGroup PAC ID 0648596924, 57 clinicians

Practice addresses (Care Compare)

5522 Lone Star Pkwy
Suite 303
San Antonio, TX 78253-6722
Phone (210) 614-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40372TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Dec 1, 2024 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Dec 1, 2024 Accepting new patients

Locations

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1851103592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 APPLEBERRY LN",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212424",
            "telephone_number": "773-899-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N LOOP 1604 E STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321425",
            "telephone_number": "210-614-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMBER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "40372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.