DR. KEVIN MICHAEL PERNICANO PHD
NPI 1083663835
Psychologist - Clinical in San Antonio, TX

Q: What is Kevin Pernicano's NPI number?

The NPI number for Kevin Pernicano is 1083663835. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Kevin Pernicano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Pernicano was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment

8800 VILLAGE DRIVE, STE 209, SAN ANTONIO, TX 78217(210) 202-0100(210) 579-9705 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2020, Sep 5, 2018, May 9, 2017 and 2 more (5 updates tracked since 2016).

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About Dr. Kevin Michael Pernicano Phd NPPES

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

DR. KEVIN MICHAEL PERNICANO PHD (NPI 1083663835) is an individual clinical provider in San Antonio, Texas, licensed in Texas (37643) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1083663835

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KEVIN MICHAEL PERNICANOCredential: PHD

Location Address8800 VILLAGE DRIVE, STE 209San Antonio, TX 78217

Mailing Address2071 Wind Chime WayNew Braunfels, TX 78130 · (210) 278-4584

Phone(210) 202-0100

Fax(210) 579-9705

Sole ProprietorYes

Medical School CMSOtherGraduated 1981

Enumeration DateMay 9, 2006

Last NPPES UpdateMarch 16, 20205 updates tracked since enumeration

NPPES CertifiedMarch 16, 2020

✔ NPI 1083663835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 37643

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8800 VILLAGE DRIVE, San Antonio, TX 78217

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Other Identifiers 2

Other37643TX · Texas State Psychology License

Medicaid3749426TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Michael Pernicano Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830382696

PECOS Enrollment IDI20170619002752

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

186 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERNICANO PROFESSIONAL PSYCHOLOGY, PLLC

Psychologist (Clinical)

8800 VILLAGE DRIVE, STE 209
SAN ANTONIO, TX 78217

Bexar County (210) 202-0100

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 Kevin Pernicano's NPI number?

The NPI number for Kevin Pernicano is 1083663835. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Kevin Pernicano located?

Kevin Pernicano practices at 8800 Village Drive Ste 209, San Antonio, TX 78217. The listed phone number is (210) 202-0100.

What is Kevin Pernicano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Pernicano enrolled in Medicare?

Yes. Kevin Pernicano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Pernicano accept?

Health plans from Blue Cross and Blue Shield of Texas, Providence Health Plan and WellPoint list Kevin Pernicano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Pernicano was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.