Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN PSYCHIATRIC SERVICES LLC
NPI 1700465432
Nurse Practitioner - Psychiatric/Mental Health in Bandera, TX

Active since April 08, 2021
611 MAIN STREET, STE 4, BANDERA, TX 78003(830) 264-8210 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 10, 2026, Mar 17, 2025, Dec 2, 2024 and 1 more (4 updates tracked since 2021).

About Southern Psychiatric Services Llc NPPES

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

SOUTHERN PSYCHIATRIC SERVICES LLC (NPI 1700465432) is a healthcare organization registered as a psychiatric/mental health in Bandera, Texas and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Bandera and lists Jeanie Heidelberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1700465432
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHERN PSYCHIATRIC SERVICES LLC
Location Address611 MAIN STREET, STE 4Bandera, TX 78003
Mailing AddressPo Box 2624Bandera, TX 78003-2624 · (830) 264-8210
Organization SubpartNo
Authorized OfficialJeanie HeidelbergOwner · (830) 264-8210
Enumeration DateApril 8, 2021
Last NPPES UpdateSeptember 10, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1700465432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
611 MAIN STREET, Bandera, TX 78003

Secondary Practice Location 1

Location 14333 Hwy 16 S Ste 400Bandera, TX 78003-5167 · Phone (830) 264-8210

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
611 MAIN STREET, STE 4
BANDERA, TX 78003
Nurse Practitioner (Psychiatric/Mental Health)
611 MAIN STREET, STE 4
BANDERA, TX 78003

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 Southern Psychiatric Services LLC's NPI number?

The NPI number for Southern Psychiatric Services LLC is 1700465432. It was assigned to this organization in the NPPES registry on April 8, 2021.

Where is Southern Psychiatric Services LLC located?

Southern Psychiatric Services LLC is located at 611 Main Street Ste 4, Bandera, TX 78003. The listed phone number is (830) 264-8210.

What is Southern Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Southern Psychiatric Services LLC accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list Southern Psychiatric Services LLC 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 Southern Psychiatric Services LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.