Active NPI
ADHD Plus Inc
Doing business as ADHD Plus
- Developmental - Behavioral Pediatrics Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- Legal business name
- ADHD PLUS INC
- Doing business as
- ADHD Plus
- Practice address
- 1370 Pantheon Way
Ste 250
San Antonio, TX 78232-2290 - Phone
- (210) 403-2343
- Fax
- (210) 403-2350
- NPI assigned
- Jun 20, 2008
- Last updated
- Mar 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeri L Penkava, MD
- Title
- Owner
- Phone
- (210) 403-2343
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | NU | ||
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | NU | Primary |
Addresses
Primary practice location
1370 Pantheon Way
Ste 250
San Antonio, TX 78232-2290
Mailing address
1370 Pantheon Way Ste 250
San Antonio, TX 78232-2290
Phone (210) 403-2343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121517009 | Medicaid | TX |
Other names 1
- ADHD Plus
National Provider Directory
National Provider DirectoryLocations
1046 Central Pkwy S
San Antonio, TX 78232
Phone (210) 403-2343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Developmental - Behavioral Pediatrics Physician
- San Antonio, TX
- NPI 1134285430
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1902067028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 PANTHEON WAY STE 250",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322290",
"telephone_number": "210-403-2343",
"fax_number": "210-403-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 PANTHEON WAY",
"address_2": "STE 250",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322290",
"telephone_number": "210-403-2343",
"fax_number": "210-403-2350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADHD PLUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-20",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "PENKAVA",
"authorized_official_first_name": "JERI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-403-2343",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121517009",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ADHD Plus",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.