DEER OAKS SOUTHEAST LLC
NPI 1619112612
Psychologist - Clinical in San Antonio, TX
About Deer Oaks Southeast Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEER OAKS SOUTHEAST LLC (NPI 1619112612) is a healthcare organization registered as a clinical in San Antonio, Texas and active in the NPI registry since December 2008. The organization lists Paul A Boskind, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deer Oaks Southeast Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Deer Oaks Southeast LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 31Williamsburg, VA 23188
Yorktown, VA 23692
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Deer Oaks Southeast LLC's NPI number?
The NPI number for Deer Oaks Southeast LLC is 1619112612. It was assigned to this organization in the NPPES registry on December 5, 2008.
Where is Deer Oaks Southeast LLC located?
Deer Oaks Southeast LLC is located at 7272 Wurzbach Rd Suite 601, San Antonio, TX 78240. The listed phone number is (210) 615-8880.
What is Deer Oaks Southeast LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Deer Oaks Southeast LLC enrolled in Medicare?
Yes. Deer Oaks Southeast LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deer Oaks Southeast LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Deer Oaks Southeast LLC. 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. The largest specialties are Clinical Social Worker (13), Mental Health Counselor (11) and Clinical Psychologist (7). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Deer Oaks Southeast LLC was last updated on December 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Deer Oaks Southeast Llc · NPI 1619112612
Clinical organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since December 5, 2008.
## Identity
- **NPI:** 1619112612 (Entity type: Organization)
- **Enumerated:** December 5, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Paul Boskind, CEO/OWNER
## Practice location
- **Address:** 7272 WURZBACH RD, SUITE 601, San Antonio, TX 78240-4801
- **Phone:** (210) 615-8880 · **Fax:** (210) 593-9863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (13), Mental Health Counselor (11), Clinical Psychologist (7); 1 practice at this address; [full list](https://npiprofile.com/npi/1619112612/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1619112612) · Data from the CMS NPPES public registry.