Cognitive Serenity Holistic Mental Health Care, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COGNITIVE SERENITY HOLISTIC MENTAL HEALTH CARE, PLLC

Practice address

8407 Bandera Rd Ste 103
San Antonio, TX 78250-2511

Phone

(210) 549-8206

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Mary Key Nicole Matthews, PSY.D.

Title

Licensed Clinical Psychologist

Phone

(210) 549-8206

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kaye Nicole Matthews, PSY.D.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1184965469
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1881313997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 BANDERA RD STE 103 #119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8407 BANDERA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782502511",
            "telephone_number": "210-549-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE SERENITY HOLISTIC MENTAL HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MARY KEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-549-8206",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Rainer Coffman, MD
• Kimberly Diane Coffman, MD, MPH
• Loyette Retelia Cogdell, RN
• Erin Caitlin Coggan
• Cognitive Endeavors, LLC
• Andrew M. Cohen, D.P.M.
• Caleb Daniel Cohen
• Gary Richard Cohen, M.D.
• Irving Matthew Cohen, DO
• Jared Cohen, M.D. , MA

• 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 Aug 23, 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.