Michelle L. Cantu, MD, P.a.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

M9904 Issued in TX

Legal business name

MICHELLE L. CANTU, MD, P.A.

Practice address

16007 Via Shavano
Suite 102
San Antonio, TX 78249-2358

Phone

(210) 615-5230

Fax

(210) 615-9400

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michelle L Cantu, M.D.NPI 1710167333

Title

President

Phone

(210) 615-5230

Specialties & licenses 2

Addresses

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.

• Michelle L. Cantu, M.D.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1710167333
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1982929485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16007 VIA SHAVANO",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492358",
            "telephone_number": "210-615-5230",
            "fax_number": "210-615-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16007 VIA SHAVANO",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492358",
            "telephone_number": "210-615-5230",
            "fax_number": "210-615-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. CANTU, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-615-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "M9904",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "M9904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Michel
• Sheryl Lynne Michel, OTD, OTR/L
• Michele Mick, PHD, Psychological Services, PLLC
• Michele San Martin, LPC
• Michelle Anson MD PLLC
• Michelle P. Moran, PH.D.,P.a.
• Tiffany Michels
• Soad Michelsen, M.D.
• Erik Eugene Michener, DC
• David Clinton Michna, PT

• Adolescent and Children Mental Health Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.