| Stonebridge Behavioral Health, P.a. | |
|
13300 Old Blanco Rd Ste 180 San Antonio TX 78216-7738 | |
| (432) 394-4664 | |
| Not Available |
| Full Name | Stonebridge Behavioral Health, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 13300 Old Blanco Rd Ste 180, San Antonio, Texas |
| Authorized Official Name and Position | Kirk L Coverstone (PRESIDENT) |
| Authorized Official Contact | 7138271510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonebridge Behavioral Health, P.a. 13300 Old Blanco Rd Ste 180 San Antonio TX 78216-7738 Ph: (713) 827-1510 | Stonebridge Behavioral Health, P.a. 13300 Old Blanco Rd Ste 180 San Antonio TX 78216-7738 Ph: (432) 394-4664 |
| NPI Number | 1861528390 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 10/16/2013 |
| Medicare PECOS PAC ID | 3274563929 |
|---|---|
| Medicare Enrollment ID | O20050812000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861528390 | NPI | - | NPPES |
| 181349501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael Roger Ghormley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972536647 PECOS PAC ID: 3971593476 Enrollment ID: I20040517000430 |
| Provider Name | Nicole B Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376673400 PECOS PAC ID: 0941372130 Enrollment ID: I20080703000193 |
| Provider Name | Claudia G Flato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710260757 PECOS PAC ID: 3274700539 Enrollment ID: I20120127000260 |
| Provider Name | Benjamin J Newman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982962791 PECOS PAC ID: 9133385149 Enrollment ID: I20120719000161 |
| Provider Name | Ann Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730493024 PECOS PAC ID: 9830336403 Enrollment ID: I20130520000379 |
| Provider Name | Gaston A Rougeaux-burnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427429745 PECOS PAC ID: 5092025338 Enrollment ID: I20151117000927 |
| Provider Name | Kathleen Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528151115 PECOS PAC ID: 9234120221 Enrollment ID: I20160226000326 |
| Provider Name | Corinne T Alvarez-sanders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174735120 PECOS PAC ID: 1355403155 Enrollment ID: I20160229001192 |
| Provider Name | James Baroffio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891921805 PECOS PAC ID: 6002108388 Enrollment ID: I20160706002072 |
| Provider Name | Liliana Pizana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922353978 PECOS PAC ID: 6901199223 Enrollment ID: I20160725002160 |
| Provider Name | Jeremy Lamar Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356778070 PECOS PAC ID: 8022350396 Enrollment ID: I20190507001671 |
| Provider Name | Marnie Richard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851765473 PECOS PAC ID: 0143552851 Enrollment ID: I20191030001372 |
| Provider Name | Steffany Lynn Malach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578877163 PECOS PAC ID: 8820374705 Enrollment ID: I20191221000363 |
| Provider Name | Amanda Kei Nall Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013148360 PECOS PAC ID: 5294151247 Enrollment ID: I20200820002323 |
| Provider Name | Margaret Ann Hinojosa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063177558 PECOS PAC ID: 1557751534 Enrollment ID: I20211206002393 |
| Provider Name | Barbra Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336564442 PECOS PAC ID: 0143612689 Enrollment ID: I20220113001344 |
| Provider Name | Nicole Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740773621 PECOS PAC ID: 5799030375 Enrollment ID: I20220819001543 |
| Provider Name | Chelsy Shay Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518659119 PECOS PAC ID: 5395108591 Enrollment ID: I20230905002698 |
| Provider Name | Christina Lion |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841516572 PECOS PAC ID: 9335596907 Enrollment ID: I20231103002801 |
| Provider Name | Cesar G Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427679943 PECOS PAC ID: 9436501574 Enrollment ID: I20240115000372 |
| Provider Name | Stephanie Ann Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669794616 PECOS PAC ID: 4385088194 Enrollment ID: I20240220004555 |
| Provider Name | Michelle Elizabeth Zweibach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538929534 PECOS PAC ID: 9436597366 Enrollment ID: I20240410003104 |
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