JOHN A MIRANDA (NPI# 1104479930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104479930 |
| Entity Type | Individual |
| Full Name | JOHN A MIRANDA |
| Credential | LPC, LCDC |
| Practice Address |
11530 Vance Jackson Rd Apt 708 San Antonio TX 78230-1828 |
| Practice Telephone | 2109844724 |
| Practice Fax Number | 2104510492 |
| Mailing Telephone | 2109844724 |
| Mailing Fax Number | 2104510492 |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2019-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
115868 | TX | Behavioral Health & Social Service Providers |
| Street Address |
11530 VANCE JACKSON RD APT 708 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359051 | Magaly Victoria Marrero | Psychologist | 11124 Wurzbach Rd, Suite 204, San Antonio, TX 78230-2438 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1831535459 | Craig Field | Psychologist | 325 Palo Alto Way, Austin, TX 78732-2453 | 2013-05-22 |
| 1104057066 | Kevin Jostan Prince | Psychologist | 100 W. Dean Keaton Drive, Health Promotion Resource Center, Ssb 1.106, Austin, TX 78712 | 2009-07-27 |
| 1427205327 | Charles Scherzer | Psychologist | 10175 Harwin Dr, Suite 101, Houston, TX 77036-1652 | 2008-08-21 |
| 1841470978 | Dianna Kay Kuehner | Psychologist | 104 Colony Ct, Bastrop, TX 78602-3382 | 2007-11-06 |
| 1326242454 | Marilyn Hamilton | Psychologist | 4450 S Wayside Dr, Suite 100b, Houston, TX 77087-1126 | 2007-06-13 |
| 1801933361 | Wchs of Texas | Psychologist | 700 Hemphill Street, Ste A, Fort Worth, TX 76104-3105 | 2007-01-31 |
| 1922102334 | Suzanne S Brent | Psychologist | 1616 S Kentucky, C-200, Amarillo, TX 79102 | 2006-09-08 |
| 1104896778 | Joann Catherine Ondrovik | Psychologist | 3430 Farm Road 195, Paris, TX 75462-3058 | 2006-01-25 |
| 1700860251 | George Lazar | Psychologist | 7324 Southwest Fwy Ste 805, 805, Houston, TX 77074-2003 | 2005-11-29 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on JOHN A MIRANDA.
| 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.