EBONEY JACKSON (NPI# 1497093116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497093116 |
Entity Type | Individual |
Full Name | EBONEY JACKSON |
Credential | PH.D |
Practice Address |
6711 S New Braunfels Ave Suite 100 San Antonio TX 78223-3005 |
Practice Telephone | 2105328811 |
Practice Fax Number | 2105318172 |
Mailing Telephone | 2105328811 |
Mailing Fax Number | 2105318172 |
Enumeration Date | 2013-01-31 |
Last Update Date | 2013-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
32651 | TX | Behavioral Health & Social Service Providers |
Street Address |
6711 S NEW BRAUNFELS AVE SUITE 100 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78223-3005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528065075 | Daniel James Still | Pharmacist | 6711 S New Braunfels Ave, Ste 100, San Antonio, TX 78223-3005 | 2005-06-30 |
1639675713 | Jamie Bluemel | Psychologist | 6711 S New Braunfels Ave, San Antonio, TX 78223-3005 | 2018-04-05 |
1689127896 | Matthew Cross | Psychologist | 6711 S New Braunfels Ave, San Antonio, TX 78223-3005 | 2016-07-25 |
1699145318 | Sharon M. Tramonte | Pharmacist | 6711 S New Braunfels Ave, Suite 500, San Antonio, TX 78223-3005 | 2015-10-07 |
1619393162 | Devon Jachade | Social Worker | 6711 S New Braunfels Ave, San Antonio, TX 78223-3005 | 2014-03-07 |
1295094969 | David Abel Vasquez | Nurse Practitioner | 6711 S New Braunfels Ave, Suite 100, San Antonio, TX 78223-3005 | 2012-05-15 |
1669758124 | Anita Mancini-michell | Psychologist | 6711 S New Braunfels Ave, Ste 100, San Antonio, TX 78223-3005 | 2011-10-28 |
1548570021 | Alecia A. Zalot | Psychologist | 6711 S New Braunfels Ave, Ste. 100, San Antonio, TX 78223-3005 | 2010-10-18 |
1700042017 | Mallikarjun Badiger | Psychiatry & Neurology | 6711 S New Braunfels Ave, Sute 100, San Antonio, TX 78223-3005 | 2008-08-06 |
1356494967 | Leslie Lucas | Psychiatry & Neurology | 6711 S New Braunfels Ave, San Antonio, TX 78223-3005 | 2007-01-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
1437626694 | Valerie Brown | Technician, Pathology | C/o 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
1356799845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
1477832293 | Jg-surgical Assistant's,llc | Specialist/Technologist, Other | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
1841580826 | Kiddo Denal Pa | Dentist | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
1770885162 | Primavera Primary Home Care, Inc | Custodial Care Facility | 1007 Fair, San Antonio, TX 78223 | 2010-11-17 |
Find all providers in zip 78223 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215554654 | Nathan Andrew Miller | Psychologist | 11207 Dublin Ldg, San Antonio, TX 78254-5468 | 2020-07-01 |
1750926051 | Jacqueline Coppock | Psychologist | 3010 W Loop 1604 N Apt 5106, San Antonio, TX 78251-3923 | 2019-11-10 |
1952861437 | Jenson Elizabeth Reiser | Psychologist | 7400 Merton Minter St Ofc 2b111, San Antonio, TX 78229-4404 | 2019-03-21 |
1073991428 | Richard Aaron Martinez | Psychologist | 100 N Santa Rosa St, #923, San Antonio, TX 78207-3205 | 2015-05-18 |
1336489764 | Antonio D Ramirez | Psychologist | 4603 Manitou, San Antonio, TX 78228-1835 | 2013-02-21 |
1568717718 | Richard P Lahaye | Psychologist | 17300 Henderson Pass, Suite 260, San Antonio, TX 78232-1663 | 2012-07-13 |
1487989174 | Lizbeth Karina Garcia-bravo | Psychologist | 16014 Via Shavano, San Antonio, TX 78249-2364 | 2009-10-13 |
1669624797 | David Robert Arreola | Psychologist | 1814 Caversham Pass Ln, San Antonio, TX 78253-6055 | 2008-10-21 |
1598969925 | Norma Lopez | Psychologist | 1500 S Zarzamora St, #129, San Antonio, TX 78207-7210 | 2007-06-11 |
1750446878 | Gary Scott Whiting | Psychologist | 8607 Wurzbach Rd, Suite V-104, San Antonio, TX 78240-1303 | 2006-12-27 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78223 |
Please comment or provide details below to improve the information on EBONEY JACKSON.
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.