EATING DISORDER CENTER AT SAN ANTONIO (NPI# 1821279779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821279779 |
| Entity Type | Organization |
| Organization Name | EATING DISORDER CENTER AT SAN ANTONIO |
| Practice Address |
515 Busby Dr San Antonio TX 78209-1116 |
| Practice Telephone | 2108267447 |
| Practice Fax Number | 2108267440 |
| Mailing Telephone | 2108267447 |
| Mailing Fax Number | 2108267440 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | DR. SUSAN C. MENGDEN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2108267747 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
TX | Ambulatory Health Care Facilities |
| Street Address |
515 BUSBY DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78209-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851832216 | Alyssa Lankford | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2017-03-17 |
| 1679012249 | Celeste Miller | Counselor | 515 Busby Dr, San Antonio, TX 78209 | 2017-02-15 |
| 1124451075 | Maria Olinka Tristan | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2013-08-14 |
| 1710230529 | Karen S Nowacek | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2012-10-17 |
| 1124344320 | Loren Elaine Prado | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2010-04-13 |
| 1649507435 | Maria Teresa Rivera | Dietitian, Registered | 515 Busby Dr, San Antonio, TX 78209-1116 | 2009-11-16 |
| 1699002543 | Lori Jones | Dietitian, Registered | 515 Busby Dr, San Antonio, TX 78209-1116 | 2009-11-13 |
| 1104062165 | Pamela Curtis | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2008-12-22 |
| 1225284656 | Lucia Carter | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2008-08-18 |
| 1275710808 | Kay Clemmons Watt | Counselor | 515 Busby Dr, San Antonio, TX 78209-1116 | 2008-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1194207530 | Arthur Davies | Licensed Vocational Nurse | 8700 Crownhill Blvd #300, San Antonio, TX 78209 | 2018-09-01 |
| 1538649462 | Jessica Michelle Moore | Licensed Vocational Nurse | 8400 Crown Hill Blvd, San Antonio, TX 78209 | 2018-08-20 |
| 1871072645 | Olawunmi Olapeju Odele | Licensed Vocational Nurse | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | 2018-08-12 |
| 1265921126 | Ashley L Garcia | Physician Assistant | 414 W Sunset Rd Ste 205, San Antonio, TX 78209 | 2018-05-07 |
| 1083117428 | New Choices Treatment Center LLC | Substance Abuse Rehabilitation Facility | 3050 Eisenhauer Rd Apt 501, San Antonio, TX 78209 | 2018-03-12 |
| 1629570106 | Julieta Rubio Hobbs | Counselor | 4301 Broadway St. 438, San Antonio, TX 78209 | 2018-03-01 |
| 1326550187 | Shannon Lee Crowley | Occupational Therapy Assistant | 403 Irvington Dr, San Antonio, TX 78209 | 2017-11-01 |
| 1932627007 | Juanita De Luna Salazar | Physical Therapist | 1635 Ne Interstate 410 Loop, #600, San Antonio, TX 78209 | 2017-09-08 |
| Find all providers in zip 78209 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1265993547 | Leslie Edwards Ma Lpc Pllc | Clinic/Center | 17806 Ih 10 W Ste 300, San Antonio, TX 78257-8222 | 2019-03-28 |
| 1033677372 | Empowering You Counseling Services, LLC | Clinic/Center | 2008 Nw Military Hwy Ste 3, San Antonio, TX 78213-2130 | 2019-03-05 |
| 1154866945 | Bariatric Counseling Center of San Antonio, LLC | Clinic/Center | 9618 Huebner Rd Ste 320, San Antonio, TX 78240-1777 | 2017-01-03 |
| 1508257346 | Christina Wei,phd,rn,pmhnp-bc,pllc | Clinic/Center | 4242 Woodcock Dr Ste 201, San Antonio, TX 78228-1325 | 2015-02-16 |
| 1346433398 | United Black and Brown | Clinic/Center | 648 Delmar St, San Antonio, TX 78210-2466 | 2007-08-23 |
| 1578685277 | Recovery Behavioral Health of San Antonio LLC | Clinic/Center | 10515 Gulfdale St, Suite 111, San Antonio, TX 78216-3667 | 2007-04-04 |
| 1982753448 | Our Lady of The Lake University | Clinic/Center | 590 N General Mcmullen Dr, 3, San Antonio, TX 78228-6205 | 2007-01-10 |
| 1679685481 | Avalon Social Services Inc | Clinic/Center | 1731 N Comal St, San Antonio, TX 78258 | 2006-08-31 |
| 1336137678 | Modupeola Adedeji | Clinic/Center | 530 San Pedro Ave, San Antonio, TX 78212-5006 | 2005-10-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78209 |
Please comment or provide details below to improve the information on EATING DISORDER CENTER AT SAN ANTONIO.
| 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.