EMMANUEL ROSARIO NIEVES


Address: 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803
Phone: 2106153483

EMMANUEL ROSARIO NIEVES (NPI# 1588121560) 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) 1588121560
Entity Type Individual
Full Name EMMANUEL ROSARIO NIEVES
Credential PHD
Practice Address 7272 Wurzbach Rd Ste 706
San Antonio
TX 78240-4803
Mailing Address 4101 Quad City St Apt 10306
Fort Worth
TX 76155-1109
Practice Telephone 2106153483
Mailing Telephone 6822594255
Enumeration Date 2019-02-26
Last Update Date 2020-09-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 38060 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX LICENSE 38060 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
9500 Ray White Rd Ste 200, Fort Worth, TX 762449105 8177454567 8336940829
4101 Quad City St Apt 10306, Fort Worth, TX 761551109 7874074268

Office Location

Street Address 7272 WURZBACH RD STE 706
City SAN ANTONIO
State TX
Zip Code 78240-4803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073660262 Cammy Chicota-carroll Clinical Neuropsychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2007-01-03
1780298539 Maria Cristina Garza Social Worker 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2020-08-31
1285197525 Irmaris Rios-vazquez Psychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2019-04-12
1699234252 Holly E Holden Social Worker 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2019-03-13
1588142061 Carol Ann Fonseca Psychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2018-08-06
1841707403 Stephanie S Blake Social Worker 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2018-01-04
1568981066 Charles Andrew Mccall Social Worker 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2017-09-15
1164947966 Alma D. Gomez Social Worker 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2017-08-14
1174058127 Ruprekha Baruah Social Worker 7272 Wurzbach Rd Ste 706, Suite 601, San Antonio, TX 78240-4803 2017-04-27
1679012462 Timberlin M Chatman Psychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2017-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184285587 Vipulkumar P Prajapati Pathology 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 2019-06-26
1306406202 Gabrielle Nicole Sepulveda Audiologist 21 Spurs Ln Ste 100, San Antonio, TX 78240 2019-06-13
1457919714 Mbg Management Group LLC Hospice Care, Community Based 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 2019-06-03
1386117901 Kevin M Miles Counselor 4820 Gus Eckert, #510, San Antonio, TX 78240 2019-01-07
1578046926 Hubert Velasco Physical Therapist 5000 Fawn Meadow Lane, San Antonio, TX 78240 2018-09-12
1740767540 Sunshine Pharmacy LLC Pharmacy 8840 Huebner Rd, San Antonio, TX 78240 2018-07-24
1982193132 Fitch Surgical Assisting Group, LLC Specialist/Technologist, Other 6163 John Chapman, San Antonio, TX 78240 2018-05-03
1295243202 Janice Marie Hennon Nurse Practitioner 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 2018-01-12
1891213195 Celina Paras Dietitian, Registered 6234 W. Jolie Ct., San Antonio, TX 78240 2017-09-07
1245757616 Claudia G Valdez Occupational Therapy Assistant 9306 Maverick Pass, San Antonio, TX 78240 2017-08-27
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1568824308 Jonathan Highsmith Clinical Neuropsychologist 24203 Bear Mtn, San Antonio, TX 78258-7230 2016-03-22
1023354321 Justin O'rourke Clinical Neuropsychologist 9643 Huebner Rd Ste 103, San Antonio, TX 78240-1752 2012-12-14
1336294891 David Michael Richie Clinical Neuropsychologist 23029 S Fork, San Antonio, TX 78255-2105 2007-01-24
1073660262 Cammy Chicota-carroll Clinical Neuropsychologist 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 2007-01-03
1942383732 Kate E Glywasky Clinical Neuropsychologist 7940 Floyd Curl Dive, Suite 1040, San Antonio, TX 78229-3606 2006-10-23
1558304543 Daneen A Milam Clinical Neuropsychologist 147 West Sunset Road, Suite 101, San Antonio, TX 78209 2006-06-14
1588604615 Katherine E. Goethe Clinical Neuropsychologist 6547 Bandera Rd, San Antonio, TX 78238-1434 2006-06-07
1679556930 Janyna Marie Mercado Clinical Neuropsychologist 19016 Stone Oak Pkwy Ste 210, San Antonio, TX 78258-3281 2005-11-21
1619520681 Johanna M. Messerly Clinical Neuropsychologist 8300 Floyd Curl Dr Fl 8, San Antonio, TX 78229-3931 2019-07-18
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Competitor

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City SAN ANTONIO
Zip Code 78240

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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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