Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Pradeep Ajay Thamboo, PSYD

Individual provider Clinical Psychologist · NPI 1194579177

Dr. Pradeep Ajay Thamboo, PSYD is a Clinical Psychologist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

11327 Expo Blvd Apt 210
San Antonio, TX 78230-1738
Phone: (518) 860-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 39601 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 39601 (TX)

Record details

NPI number1194579177
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025

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