Kevin Michael Pernicano, PHD
NPI 1083663835ActiveIndividual· Psychologist, Clinical· San Antonio, TX
Psychologist, Clinical (PHD) in San Antonio, Texas, licensed in TX, with an NPI issued in May 2006. Medicare paid $20,101 for services to 18 patients in 2024.
Overview
| NPI | 1083663835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | May 9, 2006 |
| Last updated in NPPES | Mar 16, 2020 |
| Certified by provider | Mar 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 37643 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 199 across 4 procedure codes |
| Paid by Medicare | $20,101 |
Education and affiliations
| Graduation year | 1981 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 409 clinical psychologists in San Antonio · All clinical psychologists in Texas