Individual provider Active NPI

Benjamin Jacob Newman, PSY.D

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1982962791
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36116 Issued in TX
Practice address
3522 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1231
Phone
(210) 468-1734
Fax
(210) 714-9137
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36116 TX Primary

Addresses

Primary practice location

3522 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1231

Mailing address

3522 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1231
Phone (210) 468-1734

Other practice location 1

816 Camaron St
San Antonio, TX 78212-5108
Phone (210) 284-8941

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120719000161 TX Practitioner - Clinical Psychologist 9133385149 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36116TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Behavioral Health, P.a. Clinical CurrentSince Aug 27, 2012 Accepting new patients

Locations

3305 81st St
Ste H
Lubbock, TX 79423
Phone (806) 748-6400

1010 Central Pkwy S
San Antonio, TX 78232
Phone (210) 255-1499

Organizations & group practices 2

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1982962791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 PAESANOS PKWY STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311231",
            "telephone_number": "210-468-1734",
            "fax_number": "210-714-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 PAESANOS PKWY STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311231",
            "telephone_number": "210-468-1734",
            "fax_number": "210-714-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Camaron St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782125108",
            "country_code": "US",
            "telephone_number": "210-284-8941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BENJAMIN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.