Wellformed AI

NPI 1902067028 · live from the CMS NPI Registry

Adhd Plus INC

Pediatrics, Developmental - Behavioral Pediatrics in San Antonio, TX. National Provider Identifier 1902067028, active.

NPI record

NPI1902067028 Type 2 · organization
StatusActive
Primary specialtyPediatrics, Developmental - Behavioral Pediatrics 2080P0006X
Practice location1370 Pantheon Way, Ste 250, San Antonio, TX 78232
Practice phone210-403-2343
Mailing address1370 Pantheon Way Ste 250, San Antonio, TX 78232
EnumeratedJune 20, 2008
Last updatedMarch 8, 2023
Authorized officialJeri Penkava, Owner
Other namesAdhd Plus

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X—
Social Worker, Clinical1041C0700X—
Neuromusculoskeletal Medicine & OMM204D00000X—
Nurse Practitioner363L00000X—
Pediatrics, Developmental - Behavioral Pediatrics primary2080P0006X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.