RADIUS PSYCHOTHERAPY PLLC (NPI# 1386115228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386115228 |
| Entity Type | Organization |
| Organization Name | RADIUS PSYCHOTHERAPY PLLC |
| Practice Address |
111 Camargo St San Antonio TX 78210-1011 |
| Practice Telephone | 2108521663 |
| Mailing Telephone | 2108521663 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MR. ADAM M AVILA (DIRECTOR) |
| Authorized Official Telephone | 2108521663 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
111 CAMARGO ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78210-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760732903 | Danielle Andrea Gardea | Counselor | 111 Camargo St, San Antonio, TX 78210-1011 | 2012-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265081657 | Jose M Pena | Home Health Aide | 816 Florida St, San Antonio, TX 78210 | 2019-09-09 |
| 1518346667 | Joshua Urteaga | Family Medicine | 1910 S New Braunfels, San Antonio, TX 78210 | 2015-05-21 |
| 1316363005 | Rehab Trifecta, LLC | Home Health | 213 Sadie Street, San Antonio, TX 78210 | 2014-03-05 |
| 1518233147 | Joshua Jonathon Pierpont | Physician Assistant | Fort Bragg, Apo, AA 78210 | 2012-03-28 |
| 1649563016 | Raul Ureste | Counselor | 305 E. Mitchell, San Antonio, TX 78210 | 2011-05-18 |
| 1437232204 | Herbert J Robinson | General Practice | 414 Vine St, San Antonio, TX 78210 | 2006-10-23 |
| 1033107131 | Stephen Edward Brick Sr. | Physician Assistant | 659 Steves Ave, Concentra At L&h Packing, San Antonio, TX 78210 | 2005-10-12 |
| 1558847657 | Hirut Mesele | Nurse Practitioner | 512 E Highland Blvd Ste 150, San Antonio, TX 78210 | 2018-07-12 |
| 1720243934 | Evelyn Ann Hettler-lopez | Physician Assistant | 1910 S New Braunfels Ave, San Antonio, TX 78210 | 2008-07-28 |
| 1205954658 | San Antonio Independent School District | Local Education Agency (LEA) | 141 Lavaca St, San Antonio, TX 78210-1039 | 2007-03-26 |
| Find all providers in zip 78210 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1578685277 | Recovery Behavioral Health of San Antonio LLC | Clinic/Center | 10515 Gulfdale St, Suite 111, San Antonio, TX 78216-3667 | 2007-04-04 |
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| 1679685481 | Avalon Social Services Inc | Clinic/Center | 1731 N Comal St, San Antonio, TX 78258 | 2006-08-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78210 |
Please comment or provide details below to improve the information on RADIUS PSYCHOTHERAPY PLLC.
| 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.