Holistic Developmental Peds & Integrative Med, PLLC is a Developmental - Behavioral Pediatrics Physician (organization) practicing in San Antonio, Texas. The National Provider Identifier (NPI) is #1033925789, which was assigned on December 7, 2024, and the registration record was last updated on December 7, 2024. The practitioner's main practice location is at 4940 Broadway Ste 100, San Antonio, TX 78209-5732; the contact telephone number is 2104032343, and the fax number is 2104032350. The primary taxonomy of Holistic Developmental Peds & Integrative Med, PLLC is Developmental - Behavioral Pediatrics Physician (2080P0006X), with specialization in Developmental - Behavioral Pediatrics. The authorized official for Holistic Developmental Peds & Integrative Med, PLLC is Dr. Jeri L Penkava (President).
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
NPI | 1033925789 |
Entity Type | Organization |
Organization Name | HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC |
Provider Name | HOLISTIC DEVELOPMENTAL PEDS & INTEGRATIVE MED, PLLC |
Practice Address |
4940 Broadway Ste 100 San Antonio TX 78209-5732 |
Practice Telephone | 2104032343 |
Practice Fax Number | 2104032350 |
Mailing Address |
4940 Broadway Ste 100 San Antonio TX 78209-5732 |
Mailing Telephone | 2104032343 |
Mailing Fax Number | 2104032350 |
Certification Date | 2024-12-07 |
Enumeration Date | 2024-12-07 |
Last Update Date | 2024-12-07 |
Is Organization Subpart | N |
Official Name | DR. JERI L PENKAVA |
Official Title | PRESIDENT |
Credential | MD |
Telephone | 2108672343 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 101YP2500X | Counselor | Professional | 193200000X MULTI-SPECIALTY GROUP | ||
N | 208000000X | Pediatrics | 193200000X MULTI-SPECIALTY GROUP | |||
Y | 2080P0006X | Pediatrics | Developmental - Behavioral Pediatrics | 193200000X MULTI-SPECIALTY GROUP |
Code | 2080P0006X |
Taxonomy | Developmental - Behavioral Pediatrics Physician |
Classification | Pediatrics |
Specialization | Developmental - Behavioral Pediatrics |
Grouping | Allopathic & Osteopathic Physicians |
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
Code | 101YP2500X |
Taxonomy | Professional Counselor |
Classification | Counselor |
Specialization | Professional |
Grouping | Behavioral Health & Social Service Providers |
Definition: Definition to come... |
Code | 208000000X |
Taxonomy | Pediatrics Physician |
Classification | Pediatrics |
Grouping | Allopathic & Osteopathic Physicians |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Kerri Duncan, LLC | 8591 Lakeside Dr, Englewood, FL 34224 | Developmental - Behavioral Pediatrics Physician | 2024-12-09 |
Sptlsc Inc | 110 S Orange St, New Smyrna Beach, FL 32168-7153 | Developmental - Behavioral Pediatrics Physician | 2024-06-20 |
Little Miracles Ppec LLC | 11025 Sw 84th St Ste 9, Miami, FL 33173-3856 | Developmental - Behavioral Pediatrics Physician | 2024-11-06 |
Ladder Health Inc | 817 Broadway Fl 7, New York, NY 10003-4709 | Developmental - Behavioral Pediatrics Physician | 2024-07-10 |
Marylynn Charnas | 4 Hampshire Ct, Monticello, NY 12701-8463 | Developmental - Behavioral Pediatrics Physician | 2024-06-28 |
Paige Zalewski | 109 N Stadium Blvd Apt 35, Columbia, MO 65203-8161 | Developmental - Behavioral Pediatrics Physician | 2024-12-03 |
Samantha Cohen, Md, Inc. | 3405 Kenyon St Ste 210, San Diego, CA 92110-5005 | Developmental - Behavioral Pediatrics Physician | 2024-06-25 |
Created To Thrive, PLLC | 6922 W Rayford Rd Ste 200, Spring, TX 77389-3004 | Developmental - Behavioral Pediatrics Physician | 2024-07-17 |
April D Christopherson Otr L LLC | 457 Main St, Delta, CO 81416-1816 | Developmental - Behavioral Pediatrics Physician | 2024-12-16 |
Jacqueline Kramer | 1150 Portion Rd Ste 11, Holtsville, NY 11742-1074 | Developmental - Behavioral Pediatrics Physician | 2024-07-26 |
Find all providers with the same taxonomy |
Street Address |
4940 BROADWAY STE 100 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78209-5732 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Adhd Plus | 4940 Broadway Ste 100, San Antonio, TX 78209-5732 | Counselor | 2022-08-15 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
John Pichot | 4940 Broadway Ste 211, San Antonio, TX 78209-5732 | Psychiatry Physician | 2006-09-12 |
Mark Pichot | 4940 Broadway Ste 211, San Antonio, TX 78209-5732 | Student in an Organized Health Care Education/Training Program | 2017-06-08 |
Randy Markey | 4940 Broadway St Ste 139, San Antonio, TX 78209-5732 | Clinical Social Worker | 2006-03-24 |
Abigail Elizabeth Talley | 4940 Broadway Ste 211, San Antonio, TX 78209-5732 | Psychiatry Physician | 2017-03-28 |
Marcella Eloise Quesada · Marcella Eloise Lopez | 4940 Broadway Street, Suite 112, San Antonio, TX 78209-5732 | Mental Health Counselor | 2007-03-05 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Brenda M. Kramer · Brenda Kramer | 8700 Crowhill Blvd, San Antonio, TX 78209 | Licensed Vocational Nurse | 2022-01-09 |
Argentina Balderrama | 343 Larchmont Dr., San Antonio, TX 78209 | Social Worker | 2016-08-02 |
Leslie Stark Lewis | 1635 Ne Interstate 410 Loop, Ste 600, San Antonio, TX 78209 | Speech-Language Pathologist | 2021-07-01 |
Westlake Dermatology, Pa | 5500 Broadway Ave, Alamo Heights, TX 78209 | Dermatology Physician | 2019-07-30 |
Jessica Michelle Moore | 8400 Crown Hill Blvd, San Antonio, TX 78209 | Licensed Vocational Nurse | 2018-08-20 |
John Paul White | 1635 Ne Interstate 410 Loop #600, San Antonio, TX 78209 | Physical Therapist | 2023-02-17 |
Blue Laser Surgical Company, PLLC | 813 College Blvd, San Antonio, TX 78209 | Surgical Physician Assistant | 2016-08-03 |
Passport Health Holdings, LLC | 1100 Ne Interstate 410 Loop, Suite 410, San Antonio, TX 78209 | Community Health Worker | 2023-06-02 |
Mckenna R Ayers | 1635 Ne Interstate 410 Loop (Suite 600), San Antonio, TX 78209 | Occupational Therapist | 2024-12-05 |
Olawunmi Olapeju Odele | 8700 Crownhill Blvd. Ste.300, San Antonio, TX 78209 | Licensed Vocational Nurse | 2018-08-12 |
Find all providers in the same zip code |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Meliora Integrative Holistic Care, LLC | 357 Hiatt Dr, Palm Beach Gardens, FL 33418-8222 | Chiropractor | 2021-05-18 |
Holistic Integrative Counseling Services | 1317 Edgewater Dr # 1707, Orlando, FL 32804-6350 | Adult Mental Health Clinic/Center | 2020-07-10 |
Integrative Holistic Counseling | 27475 Ferry Road, Suite 105, Warrenville, IL 60555 | Clinical Social Worker | 2006-12-06 |
Holistic Integrative Medicine LLC | 37060 Conner Rd, Soldotna, AK 99669 | Health Service Clinic/Center | 2017-04-07 |
Trulife Holistic and Integrative Wellness LLC | 7812 Sagebrook Rd, Columbia, SC 29223-5629 | Naturopath | 2024-09-06 |
Integrative Amd Holistic Center, LLC | 375 N Main St Ste 202, Kaysville, UT 84037-1278 | Adult Mental Health Clinic/Center | 2022-01-28 |
Developmental Integrative Pediatrics | 60 Abele Rd Ste 1105a, Bridgeville, PA 15017-3467 | Developmental - Behavioral Pediatrics Physician | 2018-12-18 |
Connecticut Holistic and Integrative Medicine | 1057 Poquonnock Road, Suite 3, Groton, CT 06340-6630 | Internal Medicine Physician | 2009-09-10 |
Holistic Integrative Psychiatry Corp | 1980 Kettner Blvd Apt 237, San Diego, CA 92101-2256 | Family Medicine Physician | 2021-06-24 |
Music City Peds: Developmental & Behavioral Medicine | 5409 Maryland Way, Suite 202, Brentwood, TN 37027-5037 | Medical Specialty Clinic/Center | 2016-09-06 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |