WITS SPECIALTY CLINIC PLLC
NPI 1528810439
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is Wits Specialty Clinic PLLC's NPI number?

The NPI number for Wits Specialty Clinic PLLC is 1528810439. It was assigned to this organization in the NPPES registry on April 3, 2024.

Q: What is Wits Specialty Clinic PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 03, 2024CLIA 45D2316423 · Waiver

9000 TESORO DR STE 103, SAN ANTONIO, TX 78217(210) 322-0191 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wits Specialty Clinic Pllc NPPES

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

WITS SPECIALTY CLINIC PLLC (NPI 1528810439) is a healthcare organization registered as a psychiatry in San Antonio, Texas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Audrey Moody, Owner/ Np, as its authorized official.

NPPES Registry Identity

NPI1528810439

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameWITS SPECIALTY CLINIC PLLC

Location Address9000 TESORO DR STE 103San Antonio, TX 78217-6100

Mailing Address9422 CopperwayConverse, TX 78109-2063 · (210) 322-0191

Phone(210) 322-0191

Organization SubpartNo

Authorized OfficialAudrey MoodyOwner/ Np · (210) 322-0191

Enumeration DateApril 3, 2024

NPPES CertifiedApril 3, 2024

✔ NPI 1528810439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

9000 TESORO DR STE 103, San Antonio, TX 78217

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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wits Specialty Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wits Specialty Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Audrey Moody, PMHNP-BC

Nurse Practitioner

NPI 1740990415

9422 COPPERWAY
Converse, TX 78109

(210) 322-0191

✔ PECOS✔ Accepts Medicare9.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2316423

Wits Specialty Clinic PLLC · San Antonio, TX

Active · expires Jan 5, 2027

CLIA Number45D2316423

Laboratory TypeMental Health Clinic

Certificate Effective DateJanuary 6, 2025

Certificate Expiration DateJanuary 5, 2027

Laboratory DirectorAudrey Moody

Laboratory Phone(210) 794-7726

Laboratory LocationWits Specialty Clinic PLLC9000 Tesoro Drive Dr Suite 103, San Antonio, TX 78217

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Wits Specialty Clinic PLLC's NPI number?

The NPI number for Wits Specialty Clinic PLLC is 1528810439. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Wits Specialty Clinic PLLC located?

Wits Specialty Clinic PLLC is located at 9000 Tesoro Dr Ste 103, San Antonio, TX 78217. The listed phone number is (210) 322-0191.

What is Wits Specialty Clinic PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Wits Specialty Clinic PLLC enrolled in Medicare?

Yes. Wits Specialty Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wits Specialty Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wits Specialty Clinic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wits Specialty Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2316423) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wits Specialty Clinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Wits Specialty Clinic PLLC 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 Wits Specialty Clinic PLLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.