Bizban LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

30855 Issued in TX

Legal business name

BIZBAN LLC

Practice address

1162 E Sonterra Blvd
Suite 130
San Antonio, TX 78258-4047

Phone

(210) 643-4393

Fax

(210) 408-1096

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Laurie A Bizzell, PHDNPI 1740681121

Title

Psychologist

Phone

(210) 643-4393

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Laurie Bizzell, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1740681121
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1932582913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 E SONTERRA BLVD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584047",
            "telephone_number": "210-643-4393",
            "fax_number": "210-408-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 E SONTERRA BLVD",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584047",
            "telephone_number": "210-643-4393",
            "fax_number": "210-408-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIZBAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "BIZZELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-643-4393",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "30855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "30855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bitela, QMHP-CS
• Emily Bitetto, RD
• Danielle Maria Bitner
• Karly J Bitters, DPT
• Leah Aultman Bittles, MD
• Wasim Bizra, RPH.
• Laurie Bizzell, PH.D.
• Brittany Lee Bizzle, PT
• Jessica Anne Bjerk, ACNP-BC
• BK Med Trans LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.