DR. SUSAN C MENGDEN (NPI# 1386738094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386738094 |
| Entity Type | Individual |
| Full Name | DR. SUSAN C MENGDEN |
| Credential | PH.D. |
| Practice Address |
403 E Ramsey Rd Ste 204 San Antonio TX 78216 |
| Mailing Address |
403 E Ramsey Rd Ste 204 San Antonio TX 78216-4662 |
| Practice Telephone | 2102539763 |
| Practice Fax Number | 2102551681 |
| Mailing Telephone | 2102539763 |
| Mailing Fax Number | 2102551681 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 25013 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 035992901 | 05 | |
| TX | CIGNA BEHAVIORAL | 2119581 | 01 |
| Street Address |
403 E RAMSEY RD STE 204 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917035 | Deborah L Loukas | Counselor | 403 E Ramsey Rd Ste 204, San Antonio, TX 78216-4662 | 2020-03-18 |
| 1497316889 | Meredith Michelle Woolsey | Counselor | 403 E Ramsey Rd Ste 204, San Antonio, TX 78216-4662 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896947 | Jessica Graber | Psychologist | 600 N Loop 1604 E, San Antonio, TX 78232-1268 | 2020-03-17 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1275099509 | South Texas Behavioral Group, LLC | Psychologist | 403 S Ww White Rd Ste 218, San Antonio, TX 78219-4249 | 2019-02-12 |
| 1629550298 | Rebecca Stuth Specia | Psychologist | 3031 Knight Robin Dr, San Antonio, TX 78209-3510 | 2018-08-30 |
| 1689179731 | Erica Rosentraub Shapiro | Psychologist | 1314 E. Sonterra Blvd. Ste. 2208, San Antonio, TX 78258 | 2018-03-29 |
| 1841791845 | Vanessa Tugonon Chan | Psychologist | 7403 Tom Kite Ct, San Antonio, TX 78244-1586 | 2018-02-24 |
| 1841790722 | I Am Mind & Body Wellness Center, Pllc | Psychologist | 901 Ne Loop 410 Ste 508, San Antonio, TX 78209-1306 | 2018-02-16 |
| 1194236760 | Offices of Michael A Roman Phd | Psychologist | 4242 Medical Dr Ste 6150, San Antonio, TX 78229-5369 | 2017-10-23 |
| 1548785918 | Elizabeth A Toth | Psychologist | 9926 Tezel Rd, San Antonio, TX 78254-5520 | 2017-08-07 |
| 1851813323 | Stephanie Triana, Ph.d. LLC | Psychologist | 1848 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1566 | 2017-07-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.