San Antonio Family Psychiatry

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

SAN ANTONIO FAMILY PSYCHIATRY

Practice address

16007 Via Shavano Ste 101
San Antonio, TX 78249-2359

Phone

(210) 492-1666

Fax

(210) 615-9400

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Amber Mansoor, MDNPI 1588076343

Title

Owner

Phone

(405) 550-3712

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Amber Mansoor, M.D

  • Child & Adolescent Psychiatry Physician
  • San Antonio, TX
  • NPI 1588076343
  NPD Authorized official
• Susan K Wynne, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1245305234

  Child & Adolescent Psychiatry

  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1992367155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16007 VIA SHAVANO STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492359",
            "telephone_number": "210-492-1666",
            "fax_number": "210-615-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16007 VIA SHAVANO STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492359",
            "telephone_number": "210-492-1666",
            "fax_number": "210-615-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO FAMILY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-550-3712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.