Organization Active NPI

Kristine Johnston Gerwell, PH.D., P.C.

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1891052403
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
228590 Issued in TX
Legal business name
KRISTINE JOHNSTON GERWELL, PH.D., P.C.
Practice address
130 Lewis St
San Antonio, TX 78212-5538
Phone
(210) 829-7471
Fax
(210) 829-5398
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Kristine Johnston Gerwell, PH.D.
Title
Owner/ Clinical Director
Phone
(210) 829-7471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 228590 TX Primary

Addresses

Primary practice location

130 Lewis St
San Antonio, TX 78212-5538

Mailing address

130 Lewis St
San Antonio, TX 78212-5538
Phone (210) 829-7471

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1891052403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LEWIS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125538",
            "telephone_number": "210-829-7471",
            "fax_number": "210-829-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LEWIS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125538",
            "telephone_number": "210-829-7471",
            "fax_number": "210-829-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE JOHNSTON GERWELL, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "GERWELL",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "JOHNSTON",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "210-829-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "228590",
            "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 Apr 19, 2012; 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.