Southern Psychiatric Services LLC
NPI 1700465432 · Psychiatric/Mental Health Nurse Practitioner · Bandera, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Psychiatric Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Bandera, TX (NPI 1700465432).
Provider details
- NPI number
- 1700465432
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeanie Heidelberg, Owner(830) 264-8210
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2021-04-08
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Frequently asked questions
- What is Southern Psychiatric Services LLC's NPI number?
- Southern Psychiatric Services LLC's National Provider Identifier (NPI) is 1700465432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Psychiatric Services LLC?
- Southern Psychiatric Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Southern Psychiatric Services LLC located?
- Southern Psychiatric Services LLC's practice location on file with NPPES is 4333 Hwy 16 S Ste 400, Bandera, TX 78003-5167.
- What is Southern Psychiatric Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Psychiatric Services LLC is (830) 264-8210.
- Does Southern Psychiatric Services LLC accept Medicare?
- Southern Psychiatric Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Psychiatric Services LLC?
- The authorized official listed on Southern Psychiatric Services LLC's NPPES record is Jeanie Heidelberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Psychiatric Services LLC's NPI active?
- Yes — Southern Psychiatric Services LLC's NPI (1700465432) is active in the NPPES registry as of the last update on 2025-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.