Organization Active NPI

Stephanie Triana, PH.D. LLC

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1851813323
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36505 Issued in TX
Legal business name
STEPHANIE TRIANA, PH.D. LLC
Practice address
1848 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1566
Phone
(210) 346-0775
Fax
(210) 775-0088
NPI assigned
Jul 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Dr. Stephanie Triana, PH.D.NPI 1710170162
Title
Owner
Phone
(210) 346-0775

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 36505 TX Primary

Addresses

Primary practice location

1848 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1566

Mailing address

21015 La Pena Dr
San Antonio, TX 78258-2935
Phone (210) 346-0775

Other identifiers 1

IdentifierTypeStateIssuer
00P81QOtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116000755 TX Part B Supplier - Clinic/Group Practice 9032475504 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1500163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1851813323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 LA PENA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582935",
            "telephone_number": "210-346-0775",
            "fax_number": "210-775-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131566",
            "telephone_number": "210-346-0775",
            "fax_number": "210-775-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE TRIANA, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-16",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-346-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00P81Q",
            "state": null
        }
    ],
    "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 Sep 27, 2017; 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.