Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pernicano Professional Psychology, PLLC

Organization Clinical Psychologist · NPI 1417518556

Pernicano Professional Psychology, PLLC is a Clinical Psychologist in San Antonio, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8800 Village Dr Ste 209
San Antonio, TX 78217
Phone: (210) 202-0100
Fax: (210) 579-9705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1417518556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Pernicano — Owner · (210) 278-4584
NPI enumeratedJune 27, 2019
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address8800 Village Drive, Ste 209, San Antonio, TX 78217

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