EBONEY JACKSON


Address: 6711 S New Braunfels Ave, Suite 100, San Antonio, TX 78223-3005
Phone: 2105328811

EBONEY JACKSON (NPI# 1497093116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
32651 TX Behavioral Health & Social Service Providers

Office Location

Street Address 6711 S NEW BRAUNFELS AVE
SUITE 100
City SAN ANTONIO
State TX
Zip Code 78223-3005

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAN ANTONIO
Zip Code 78223

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Dataset Information

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.

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