Individual provider Active NPI

Tracey C Cawthorn, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1982850665
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P4552 Issued in TX
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

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000248 TX Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1658516588 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

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

LicenseStateTypeSpecialty
P4552TXMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Well Primary Care PC Multi-Specialty CurrentSince Mar 26, 2023 Accepting new patients
Heart of Texas Region MHMR Center Multi-Specialty CurrentSince Oct 13, 2021 Accepting new patients
Hillside Primary Care PLLC Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Coe-Medical PLLC Multi-Specialty CurrentSince Aug 2, 2019 Accepting new patients
Mindful Innovations Counseling Services, PLLC Multi-Specialty CurrentSince Oct 28, 2021 Accepting new patients
Serenity Medicine of Texas, P.a. Multi-Specialty CurrentSince Jul 21, 2024 Accepting new patients
Progressive Behavioral Health, PLLC Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
TP-Health Incorporated Multi-Specialty CurrentSince May 1, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.