OrganizationActive
Pernicano Professional Psychology, PLLC
NPI 1417518556 · Clinical Psychologist · San Antonio, TX
Provider details
- NPI number
- 1417518556
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Pernicano, Owner(210) 278-4584
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8800 Village Drive
Ste 209
San Antonio, TX 78217
Phone: (210) 202-0100
Fax: (210) 579-9705
Approximate (ZIP-level) locationGet directions
Mailing address
8800 Village Drive
San Antonio, TX 78217
Registry dates
- Enumerated
- 2019-06-27
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.