Organization Active NPI

ADHD Plus Inc

Doing business as ADHD Plus

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
National Provider Identifier
1902067028
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Jeri L Penkava, MDNPI 1134285430
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121517009MedicaidTX

Other names 1

  • ADHD Plus Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.