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LEGACY PSYCHOLOGICAL SERVICES, PLLC
NPI 1205505674
Clinic/Center - Adolescent and Children Mental Health in San Antonio, TX

Active since September 09, 2021
1919 OAKWELL FARMS PKWY STE 138, SAN ANTONIO, TX 78218(210) 819-5941 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Psychological Services, Pllc NPPES

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

LEGACY PSYCHOLOGICAL SERVICES, PLLC (NPI 1205505674) is a healthcare organization registered as an adolescent and children mental health in San Antonio, Texas and active in the NPI registry since September 2021. The organization lists Lara Conrad-shearburn, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1205505674
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameLEGACY PSYCHOLOGICAL SERVICES, PLLC
Location Address1919 OAKWELL FARMS PKWY STE 138San Antonio, TX 78218-1725
Mailing Address1919 Oakwell Farms Pkwy Ste 138San Antonio, TX 78218-1725 · (210) 819-5941
Phone(210) 819-5941
Organization SubpartNo
Authorized OfficialLara Conrad-shearburnLicensed Psychologist · (210) 819-5941
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1205505674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1919 OAKWELL FARMS PKWY STE 138, San Antonio, TX 78218
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Other Providers at the Same Location NPPES

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

LARA CONRAD-SHEARBURN PHD
Psychologist
1919 OAKWELL FARMS PKWY STE 138
SAN ANTONIO, TX 78218
Bexar County (210) 819-5941

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 Legacy Psychological Services, PLLC's NPI number?

The NPI number for Legacy Psychological Services, PLLC is 1205505674. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Legacy Psychological Services, PLLC located?

Legacy Psychological Services, PLLC is located at 1919 Oakwell Farms Pkwy Ste 138, San Antonio, TX 78218. The listed phone number is (210) 819-5941.

What is Legacy Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Legacy Psychological Services, PLLC was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.