Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ORIGINPSYCH: EVALUATION AND TRAINING PRACTICE, PLLC
NPI 1063326247
Psychologist in San Antonio, TX

Active since October 02, 2026
8637 FREDERICKSBURG RD STE 400-120, SAN ANTONIO, TX 78240(210) 461-8950 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Originpsych: Evaluation And Training Practice, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORIGINPSYCH: EVALUATION AND TRAINING PRACTICE, PLLC (NPI 1063326247) is a healthcare organization registered as a psychologist in San Antonio, Texas and active in the NPI registry since October 2026. The organization lists Yimi Isimenmen Omofuma, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1063326247
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameORIGINPSYCH: EVALUATION AND TRAINING PRACTICE, PLLC
Location Address8637 FREDERICKSBURG RD STE 400-120San Antonio, TX 78240-1219
Mailing Address8637 Fredericksburg Rd Ste 400-120San Antonio, TX 78240-1219 · (210) 461-8950
Organization SubpartNo
Authorized OfficialYimi Isimenmen OmofumaPsychologist/owner · (210) 461-8950
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1063326247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8637 FREDERICKSBURG RD STE 400-120, San Antonio, TX 78240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Originpsych: Evaluation And Training Practice, PLLC's NPI number?

The NPI number for Originpsych: Evaluation And Training Practice, PLLC is 1063326247. It was assigned to this organization in the NPPES registry on October 2, 2026.

Where is Originpsych: Evaluation And Training Practice, PLLC located?

Originpsych: Evaluation And Training Practice, PLLC is located at 8637 Fredericksburg Rd Ste 400-120, San Antonio, TX 78240. The listed phone number is (210) 461-8950.

What is Originpsych: Evaluation And Training Practice, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Originpsych: Evaluation And Training Practice, PLLC was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.