MIP SA LLC
NPI 1568265205
Clinic/Center - Adolescent and Children Mental Health in San Antonio, TX

Active since March 28, 2025
901 NE LOOP 410 # 405, SAN ANTONIO, TX 78209(210) 926-5502 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Mip Sa Llc NPPES

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

MIP SA LLC (NPI 1568265205) is a healthcare organization registered as an adolescent and children mental health in San Antonio, Texas and active in the NPI registry since March 2025. The organization lists Dina Kushaliyeva, Director, as its authorized official.

NPPES Registry Identity

NPI1568265205
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMIP SA LLC
Location Address901 NE LOOP 410 # 405San Antonio, TX 78209-1305
Mailing Address901 Ne Loop 410 # 405San Antonio, TX 78209-1305 · (210) 926-5502
Organization SubpartYesParent: Mip Svc Llc
Authorized OfficialDina KushaliyevaDirector · (214) 802-0224
Enumeration DateMarch 28, 2025
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1568265205 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.
901 NE LOOP 410 # 405, San Antonio, TX 78209

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 Mip Sa LLC's NPI number?

The NPI number for Mip Sa LLC is 1568265205. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Mip Sa LLC located?

Mip Sa LLC is located at 901 NE Loop 410 # 405, San Antonio, TX 78209. The listed phone number is (210) 926-5502.

What is Mip Sa LLC'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 Mip Sa LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.