1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Psychologist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KINTSUGI COGNITIVE PLLC
NPI 1629980404
Psychologist - Clinical in San Antonio, TX

Active since September 17, 2026
11122 WURZBACH RD STE 201C, SAN ANTONIO, TX 78230(210) 660-8402 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kintsugi Cognitive Pllc NPPES

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

KINTSUGI COGNITIVE PLLC (NPI 1629980404) is a healthcare organization registered as a clinical in San Antonio, Texas and active in the NPI registry since September 2026. The organization lists Patricia Mojdara, Cco, as its authorized official.

NPPES Registry Identity

NPI1629980404
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKINTSUGI COGNITIVE PLLC
Location Address11122 WURZBACH RD STE 201CSan Antonio, TX 78230-2575
Mailing Address11122 Wurzbach Rd Ste 201cSan Antonio, TX 78230-2575 · (210) 660-8402
Phone(210) 660-8402
Organization SubpartNo
Authorized OfficialPatricia MojdaraCco · (210) 632-3950
Enumeration DateSeptember 17, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1629980404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11122 WURZBACH RD STE 201C, San Antonio, TX 78230
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kintsugi Cognitive PLLC's NPI number?

The NPI number for Kintsugi Cognitive PLLC is 1629980404. It was assigned to this organization in the NPPES registry on September 17, 2026.

Where is Kintsugi Cognitive PLLC located?

Kintsugi Cognitive PLLC is located at 11122 Wurzbach Rd Ste 201C, San Antonio, TX 78230. The listed phone number is (210) 660-8402.

What is Kintsugi Cognitive 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 Kintsugi Cognitive PLLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.