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STBM LLC NPI 1992921019


NPI Information

NPI: 1992921019
Provider Name: STBM LLC

Doing Business As: SOUTH TEXAS BEHAVIORAL MEDICINE

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
12050 VANCE JACKSON
BLDG. 2, STE. 201
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 699-8881
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STBM LLC is a clinical psychologist in San Antonio, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. STBM LLC NPI is 1992921019. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As South Texas Behavioral Medicine.

The provider's business location address is:

12050 VANCE JACKSON
BLDG. 2, STE. 201
SAN ANTONIO, TX
ZIP 78230-183
Phone: (210) 699-8881
Fax: (210) 699-0503

The provider's authorized official is Diane Pena .
The authorized official title is Office Manager and has the following contact phone number (210) 699-8881.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist1884TEXASNo
2103TC0700XPsychologistClinical22545TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11124053632OTHERTEXASAPRN, MSN, BC
21306857966OTHERTEXASMD
31487689998OTHERTEXASLPC, PHD
41760408702OTHERTEXASMD
51851317895OTHERTEXASLMFT, PHD, LPC
61427064062OTHERTEXASMD
71295743706OTHERTEXASPHD
81174549109OTHERTEXASMD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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