JOHN A MIRANDA LPC, LCDC
NPI 1104479930
Psychologist - Addiction (Substance Use Disorder) in San Antonio, TX
NPI Status: Active since July 21, 2019
Contact Information
110 E HOUSTON ST
SAN ANTONIO, TX
ZIP 78205
Phone: (210) 414-4327
Fax: (210) 451-0492
- Individual
- Male
- Psychologist
- Addiction (Substance Use Disorder)
About JOHN MIRANDA
This page provides the complete NPI Profile along with additional information for John Miranda, a provider established in San Antonio, Texas with a medical specialization in Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1104479930 assigned on July 2019. The practitioner's primary taxonomy code is 103TA0400X with license number 115868 (TX). The provider is registered as an individual and his NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1104479930
- Provider Name
- JOHN A MIRANDA LPC, LCDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 110 E HOUSTON ST SAN ANTONIO, TX 78205
- Location Phone
- (210) 414-4327
- Location Fax
- (210) 451-0492
- Mailing Address
- 5300 ENCANTA ST APT 402 SAN ANTONIO, TX 78233
- Mailing Phone
- (726) 300-4948
- Mailing Fax
- (210) 451-0492
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-21-2019
- Last Update Date
- 04-18-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 115868
- License State
- TX
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | 115868 (TX) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104479930, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104479930, enumerated as an "individual" on July 21, 2019.
The provider is located at 110 E HOUSTON ST SAN ANTONIO, TX 78205 and the phone number is (210) 414-4327.
Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).
