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PERNICANO PROFESSIONAL PSYCHOLOGY, PLLC
NPI 1417518556
Psychologist - Clinical in San Antonio, TX

Active since June 27, 2019
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: July 26, 2026.

About Pernicano Professional Psychology, Pllc NPPES

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

PERNICANO PROFESSIONAL PSYCHOLOGY, PLLC (NPI 1417518556) is a healthcare organization registered as a clinical in San Antonio, Texas and active in the NPI registry since June 2019. The organization lists Kevin Michael Pernicano, Owner, as its authorized official.

NPPES Registry Identity

NPI1417518556
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePERNICANO PROFESSIONAL PSYCHOLOGY, PLLC
Location Address8800 VILLAGE DRIVE, STE 209San Antonio, TX 78217
Mailing Address8800 Village Drive, Ste 209San Antonio, TX 78217 · (210) 202-0100 · Fax (210) 579-9705
Phone(210) 202-0100
Fax(210) 579-9705
Organization SubpartNo
Authorized OfficialKevin Michael PernicanoOwner · (210) 278-4584
Enumeration DateJune 27, 2019
Last NPPES UpdateMarch 16, 2020
NPPES CertifiedMarch 16, 2020
✔ NPI 1417518556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 1

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

Other Providers at the Same Location NPPES

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

DR. KEVIN MICHAEL PERNICANO PHD
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 Pernicano Professional Psychology, PLLC's NPI number?

The NPI number for Pernicano Professional Psychology, PLLC is 1417518556. It was assigned to this organization in the NPPES registry on June 27, 2019.

Where is Pernicano Professional Psychology, PLLC located?

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

What is Pernicano Professional Psychology, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pernicano Professional Psychology, PLLC was last updated on March 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.