IndividualActive
Michell Llerena
NPI 1003601808 · Psychiatry Physician · Jbsa Lackland, TX
Provider details
- NPI number
- 1003601808
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- BP10091738 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 997-2060
Approximate (ZIP-level) locationGet directions
Mailing address
5788 Eckhert Rd
San Antonio, TX 78240-3900
Additional practice locations (5)
- 3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504Phone: (210) 916-5756Fax: (210) 916-5756
- 5788 Eckhert RdSan Antonio, TX 78240-3900Phone: (210) 567-5742
- 9206 Jones Maltsberger Rd Apt 3109San Antonio, TX 78216-4747Phone: (239) 810-6273
- 4647 Medical DrSan Antonio, TX 78229-4403Phone: (210) 358-8145
- 7400 Merton Minter StSan Antonio, TX 78229-4404Phone: (210) 617-5300
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.