Robert Joseph Vanecek, PH.D.

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

31895 Issued in TX

Practice address

1100 Wilford Hall Loop, BLDG 4554
Attn: 59 MDW/SGHC
San Antonio, TX 78236

Phone

(210) 292-7361

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• None None Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1881677300",
    "addresses": [
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PSC 80 BOX 16009",
            "city": "APO",
            "state": "AP",
            "postal_code": "96367",
            "telephone_number": "011816117341266",
            "fax_number": "011816117344484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP, BLDG 4554",
            "address_2": "ATTN: 59 MDW/SGHC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop, BLDG 4554",
            "address_2": "ATTN: 59 MDW/SGHC",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78236",
            "country_code": "US",
            "telephone_number": "210-292-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANECEK",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31895",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "31895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "credential": "PHD, ABPP, BCB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Health Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.