| Neuropsychological Institute Of San Antonio Pllc | |
|
19016 Stone Oak Pkwy Bldg I San Antonio TX 78258-3280 | |
| (210) 860-9622 | |
| (844) 404-6016 |
| Full Name | Neuropsychological Institute Of San Antonio Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 19016 Stone Oak Pkwy Bldg I, San Antonio, Texas |
| Authorized Official Name and Position | Janyna Marie Mercado (OWNER) |
| Authorized Official Contact | 2108609622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Institute Of San Antonio Pllc 19016 Stone Oak Pkwy Bldg I San Antonio TX 78258-3280 Ph: (210) 860-9622 | Neuropsychological Institute Of San Antonio Pllc 19016 Stone Oak Pkwy Bldg I San Antonio TX 78258-3280 Ph: (210) 860-9622 |
| NPI Number | 1891381331 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Medicare PECOS PAC ID | 7214340678 |
|---|---|
| Medicare Enrollment ID | O20210105000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891381331 | NPI | - | NPPES |
| 32917 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Janyna M Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679556930 PECOS PAC ID: 5496857112 Enrollment ID: I20070227000700 |
| Provider Name | John Delatorre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578038485 PECOS PAC ID: 3870901903 Enrollment ID: I20210409000726 |
| Provider Name | Amber Fahey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568052702 PECOS PAC ID: 8921406489 Enrollment ID: I20211013002663 |
| Provider Name | Ann Clawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912394230 PECOS PAC ID: 2163751504 Enrollment ID: I20211014000489 |
| Provider Name | Jamie Beth Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437739521 PECOS PAC ID: 5092173849 Enrollment ID: I20230627000023 |
| Provider Name | Kathryn S Wefel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144418435 PECOS PAC ID: 6709231251 Enrollment ID: I20231018002588 |
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