Neuropsychological Institute of San Antonio PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

NEUROPSYCHOLOGICAL INSTITUTE OF SAN ANTONIO PLLC

Practice address

19016 Stone Oak Pkwy BLDG I
San Antonio, TX 78258-3280

Phone

(210) 860-9622

Fax

(844) 404-6016

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Janyna Marie Mercado, PH.DNPI 1679556930

Title

Owner

Phone

(210) 860-9622

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Janyna Marie Mercado, PHD

  • Clinical Neuropsychologist
  • San Antonio, TX
  • NPI 1679556930
  Medicare reassignment Care Compare group NPD Authorized official
• Jamie Beth Schaffer

  • Clinical Neuropsychologist
  • Cambridge, MA
  • NPI 1437739521

  TX

  Medicare reassignment Care Compare group NPD
• Kathryn S. Wefel, MS, CCC-SLP

  • Speech-Language Pathologist
  • Kenneth City, FL
  • NPI 1144418435

  TX

  Medicare reassignment Care Compare group NPD
• Amber Marie Fahey, PH.D.

  • Clinical Neuropsychologist
  • Jbsa Randolph, TX
  • NPI 1568052702
  Medicare reassignment NPD
• Ann Clawson, PHD

  • Clinical Neuropsychologist
  • Lacey, WA
  • NPI 1912394230

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1891381331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY BLDG I",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583280",
            "telephone_number": "210-860-9622",
            "fax_number": "844-404-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY BLDG I",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583280",
            "telephone_number": "210-860-9622",
            "fax_number": "844-404-6016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Fannin St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770029135",
            "country_code": "US",
            "telephone_number": "210-860-9622",
            "fax_number": "844-404-6016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 Treeline Park Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782092078",
            "country_code": "US",
            "telephone_number": "210-860-9622",
            "fax_number": "844-404-6016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL INSTITUTE OF SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "JANYNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-860-9622",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "32917",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.marcom@texasneuropsychinstitute.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19016 Stone Oak Pkwy Bldg I",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782583280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Neuropsychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.