Active NPI
Tracey C Cawthorn, MD
- Psychiatry Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- P4552
- Practice address
- 1747 Citadel PLZ Ste 108
San Antonio, TX 78209-1016 - Phone
- (210) 385-0400
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | P4552 | TX | |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | P4552 | TX | |
| Addiction Psychiatry Physician | 2084P0802X | P4552 | TX | |
| Psychosomatic Medicine Physician | 2084P0015X | P4552 | TX | |
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | P4552 | TX | |
| Geriatric Psychiatry Physician | 2084P0805X | P4552 | TX | |
| Psychiatry Physician | 2084P0800X | P4552 | TX | Primary |
Addresses
Primary practice location
1747 Citadel PLZ Ste 108
San Antonio, TX 78209-1016
Mailing address
1747 Citadel PLZ Ste 108
San Antonio, TX 78209-1016
Phone (210) 385-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
540 Oak Centre Dr
Suite 205
San Antonio, TX 78258-4767
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4552 | TX | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Well Primary Care PC | Multi-Specialty | Current | Accepting new patients |
| Heart of Texas Region MHMR Center | Multi-Specialty | Current | Accepting new patients |
| Hillside Primary Care PLLC | Multi-Specialty | Current | Accepting new patients |
| Coe-Medical PLLC | Multi-Specialty | Current | Accepting new patients |
| Mindful Innovations Counseling Services, PLLC | Multi-Specialty | Current | Accepting new patients |
| Serenity Medicine of Texas, P.a. | Multi-Specialty | Current | Accepting new patients |
| Progressive Behavioral Health, PLLC | Multi-Specialty | Current | Accepting new patients |
| TP-Health Incorporated | Multi-Specialty | Current | Accepting new patients |
Locations
6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141
113 Pleasant Valley Dr
Ste 210
Boerne, TX 78006
Phone (210) 872-4710
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500
12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425
12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425
12881 Toepperwein Rd
#I35
Live Oak, TX 78233
4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677
790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549
14345 Blanco Rd
San Antonio, TX 78216
Phone (210) 455-0074
540 Oak Centre Dr
Ste 205
San Antonio, TX 78258
Phone (210) 705-5001
1747 Citadel Plz
Ste 205
San Antonio, TX 78209
Phone (210) 251-6645
2339 E Evans Rd
San Antonio, TX 78259
2339 E Evans Rd
Ste 112
San Antonio, TX 78259
1747 Citadel Plz
Ste 108
San Antonio, TX 78209
Phone (210) 385-0400
5525 Blanco Rd
Ste 102
San Antonio, TX 78216
Phone (210) 464-6020
1009 NW Loop 410
San Antonio, TX 78213
Phone (210) 366-1021
5000 Baptist Health Dr
Ste 117
Schertz, TX 78154
Phone (210) 626-8201
110 S 12th St
Waco, TX 76701
Phone (254) 297-7124
Interoperability endpoints
- tracey.cawthorn@hca7.eclinicaldirectplus.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waco, TX
- NPI 1639399132
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- San Antonio, TX
- NPI 1487055992
-
- Geriatric Psychiatry Physician
- San Antonio, TX
- NPI 1528641362
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1982850665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 CITADEL PLZ STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091016",
"telephone_number": "210-385-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 CITADEL PLZ STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091016",
"telephone_number": "210-385-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAWTHORN",
"first_name": "TRACEY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "TX",
"license": "P4552",
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": "P4552",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "TX",
"license": "P4552",
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "TX",
"license": "P4552",
"primary": false
},
{
"code": "2084P0301X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": "TX",
"license": "P4552",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "P4552",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P4552",
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.