DR. LIZMARIE GONZALEZ-VEGA M.D.
NPI 1770764904
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Antonio, TX

Q: What is Lizmarie Gonzalez-vega's NPI number?

The NPI number for Lizmarie Gonzalez-vega is 1770764904. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Q: What is Lizmarie Gonzalez-vega's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since November 15, 2007PECOS Enrolled

8535 TOM SLICK, SAN ANTONIO, TX 78229(210) 582-6440(210) 692-9021 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Lizmarie Gonzalez-vega M.d. NPPES

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

DR. LIZMARIE GONZALEZ-VEGA M.D. (NPI 1770764904) is an individual child & adolescent psychiatry provider in San Antonio, Texas, licensed in Texas (N6876) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (2006).

NPPES Registry Identity

NPI1770764904

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. LIZMARIE GONZALEZ-VEGACredential: M.D.

Location Address8535 TOM SLICKSan Antonio, TX 78229-3367

Mailing Address8535 Tom SlickSan Antonio, TX 78229-3367 · (210) 582-6440 · Fax (210) 692-9021

Phone(210) 582-6440

Fax(210) 692-9021

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 2006

Enumeration DateNovember 15, 2007

Last NPPES UpdateMay 16, 2012

✔ NPI 1770764904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in TX · N6876

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License N6876 (TX)

8535 TOM SLICK, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Baylor Scott and White Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lizmarie Gonzalez-vega M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062676216

PECOS Enrollment IDI20120619000619

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lizmarie Gonzalez-vega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Psychiatric Physicians

Same address

Child & Adolescent Psychiatry

8535 TOM SLICK
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
13 clinicians in this Medicare group

NPI 1639286370 (210) 582-6440

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

Other Providers at the Same Location NPPES 20

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

JOSHUA D ESSERY PSYD

Psychologist (Clinical)