FORTITUDE PSYCHOTHERAPY (NPI# 1053600155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053600155 |
| Entity Type | Organization |
| Organization Name | FORTITUDE PSYCHOTHERAPY |
| Practice Address |
3903 Wiseman Blvd Ste #211 San Antonio TX 78251-4401 |
| Mailing Address |
6130 Briscoe Leaf San Antonio TX 78253-5524 |
| Practice Telephone | 2103816593 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | MICHAEL GAMBUTI (MANAGER) |
| Authorized Official Telephone | 2103816593 |
| Authorized Official Credential | LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 60992 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3903 WISEMAN BLVD STE #211 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78251-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518633 | Sanjay Kumar | Internal Medicine | 3903 Wiseman Blvd, Ste 100, San Antonio, TX 78251-4401 | 2005-09-12 |
| 1679929756 | Angie Ayers | Pharmacist | 3903 Wiseman Blvd, Ste 313, San Antonio, TX 78251-4401 | 2016-05-09 |
| 1427466531 | Tranquility Tms Center Pllc | Psychiatry & Neurology | 3903 Wiseman Blvd, Suite 211, San Antonio, TX 78251-4401 | 2014-08-01 |
| 1780015719 | Rheumatology Associates of South Texas, Pllc | Internal Medicine | 3903 Wiseman Blvd, Ste 221, San Antonio, TX 78251-4401 | 2013-12-02 |
| 1992137350 | Livingwell Family Psychiatric Services | Nurse Practitioner | 3903 Wiseman Blvd, Ste 211, San Antonio, TX 78251-4401 | 2013-08-07 |
| 1972847176 | Jennifer S. Hughes | Nurse Practitioner | 3903 Wiseman Blvd, Ste 211, San Antonio, TX 78251-4401 | 2012-11-12 |
| 1073880092 | Kellum Physician Partners, Pa | Family Medicine | 3903 Wiseman Blvd, Suite 215, San Antonio, TX 78251-4401 | 2011-11-18 |
| 1578830543 | Spine & Pain Center of San Antonio | Clinic/Center | 3903 Wiseman Blvd, 311, San Antonio, TX 78251-4401 | 2011-11-18 |
| 1316267594 | Christine Teresa Van Ramshorst | Obstetrics & Gynecology | 3903 Wiseman Blvd, Ste. 300, San Antonio, TX 78251-4401 | 2010-06-10 |
| 1396971255 | Molly Dudley Shields | Obstetrics & Gynecology | 3903 Wiseman Blvd, Suite # 215, San Antonio, TX 78251-4417 | 2009-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1528679933 | Michael Medina | Registered Nurse | 1224 Leonard Hunt, San Antonio, TX 78251 | 2020-08-11 |
| 1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1245892751 | Rodolfo Eloy Zapata | Behavior Technician | 9032 Dugas Rd Apt 118, San Antonio, TX 78251 | 2019-07-03 |
| 1174188718 | Kesar Family Pllc | Internal Medicine | 3303 Rodgers Road, Suite 250, San Antonio, TX 78251 | 2019-05-09 |
| 1730657313 | Culebra Meadows Dental Partners Pllc | Dentist | 7895 Culebra Rd., San Antonio, TX 78251 | 2018-11-13 |
| 1720563299 | San Juanita Villanueva | Specialist/Technologist | 10618 Cat Mountain, San Antonio, TX 78251 | 2018-10-01 |
| 1316421506 | Westover Hills Primary Care | Family Medicine | 9022 Culebra Rd, Ste 112, San Antonio, TX 78251 | 2018-09-24 |
| 1649750894 | Alejandro Rodriguez Flores | Physical Therapy Assistant | 9922 Tx-151, San Antonio, TX 78251 | 2018-08-17 |
| Find all providers in zip 78251 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| 1235746025 | Audrey Alexander Jolivette | Counselor | 10730 Potranco Rd Ste 122-475, San Antonio, TX 78251-3327 | 2020-09-26 |
| 1275150849 | Jessica Michele Flores | Counselor | 13835 Murphy Hvn, San Antonio, TX 78254-4563 | 2020-06-30 |
| 1093339822 | Melissa Childers-white | Counselor | 212 Village Cir, San Antonio, TX 78232-2824 | 2020-06-08 |
| 1861014623 | Auxilium Project | Counselor | 502 Stockton Dr, San Antonio, TX 78216-6438 | 2020-05-14 |
| 1497377659 | William J Loy | Counselor | 438 Stardust Dr, San Antonio, TX 78228-2761 | 2020-05-11 |
| 1417577644 | Frances B Wong | Counselor | 142 Milford Dr, San Antonio, TX 78213-4036 | 2020-04-17 |
| 1336778778 | Agentix Counseling, Coaching, & Consulting Pllc | Counselor | 21018 El Suelo Bueno, San Antonio, TX 78258-2924 | 2020-04-07 |
| 1477180925 | Jenna Marie Ruhd | Counselor | 7215 S Ww White Rd, San Antonio, TX 78222-5203 | 2020-03-25 |
| 1699307173 | Kingdom Outreach Center of San Antonio, Tx | Counselor | Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217 | 2020-02-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78251 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.