AUXILIUM PROJECT (NPI# 1861014623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861014623 |
| Entity Type | Organization |
| Organization Name | AUXILIUM PROJECT |
| Practice Address |
502 Stockton Dr San Antonio TX 78216-6438 |
| Practice Telephone | 2104218368 |
| Mailing Telephone | 2104218368 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | JESSICA LYNN SMITH (PRESIDENT) |
| Authorized Official Telephone | 2104218368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
Nursing Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Precision Addiction Research Institute | Doing Business As Name - Organization |
| Southwest Recovery Research Institute | Doing Business As Name - Organization |
| Texas Community Supervision Monitoring Adjunct Service | Doing Business As Name - Organization |
| Street Address |
502 STOCKTON DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6438 |
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245315845 | Raul G Rodriguez | Psychiatry & Neurology | 17720 Corporate Woods Dr., San Antonio, TX 78259-3500 | 2006-10-25 |
| 1255802278 | Bienestar Inc. | Psychiatry & Neurology | 11503 Jones Maltsberger Rd Ste 1106, San Antonio, TX 78216-2630 | 2018-12-17 |
| 1851403984 | Boyce Elliott IIi | Psychiatry & Neurology | 4242 Medical Dr, Suite 7100, San Antonio, TX 78229-5640 | 2006-08-31 |
| 1851404545 | Manuel Balderas | Psychiatry & Neurology | 17720 Corporate Woods Dr, San Antonio, TX 78259-3509 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926626 | Carma Specialty Health Pllc | Psychiatry & Neurology | 630 W 34th St Ste 301a, Austin, TX 78705-1232 | 2019-01-21 |
| 1659849909 | Sanative LLC | Psychiatry & Neurology | 9900 N Central Expy Ste 555, Dallas, TX 75231-0984 | 2018-11-05 |
| 1881074110 | Medical & Psychiatric Associates of South Texas, Pllc | Psychiatry & Neurology | 3401 Padre Blvd Ste B, South Padre Island, TX 78597-7125 | 2015-06-02 |
| 1700114055 | James M. May, M.d., P.a. | Psychiatry & Neurology | 6625 Wooldridge Rd Ste 402, Corpus Christi, TX 78414-2916 | 2009-11-25 |
| 1386807659 | Medcare Clinc | Psychiatry & Neurology | 12834 Willow Ctr Ste E, Houston, TX 77066-3047 | 2008-07-08 |
| 1316105232 | Gloria Arko Maguadog | Psychiatry & Neurology | 4800 W 34th St Ste B3, Houston, TX 77092-6661 | 2008-05-28 |
| 1255509907 | Luke Peris Md | Psychiatry & Neurology | 14800 Quorum Dr Ste 465, Dallas, TX 75254-1420 | 2008-02-15 |
| 1871717884 | Adib Rizkallah Mikhail | Psychiatry & Neurology | 34 Leisure Lane, The Woodlands, TX 77380-1322 | 2007-04-12 |
| 1336209147 | Oscar E Perez | Psychiatry & Neurology | 1400 N El Paso St Ste A, 1400 N El Paso St Bldg A, El Paso, TX 79902-3438 | 2006-12-11 |
| 1861565798 | Syed Ahmed | Psychiatry & Neurology | 1301 Link Rd, League City, TX 77573-6313 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on AUXILIUM PROJECT.
| 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.