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210 Psychiatry & Psychotherapy, PLLC

NPI 1730791088ActiveOrganization· Nurse Practitioner, Psych/Mental Health· San Antonio, TX

Nurse Practitioner, Psych/Mental Health in San Antonio, Texas, registered in NPPES in August 2020. The authorized official on file is Sean Ireland Huckleberry, APRN-BC, Owner/Psychiatric Nurse Practitione.

Overview

NPI1730791088
StatusActive
Entity typeOrganization
NPI issuedAug 18, 2020
Last updated in NPPESAug 9, 2021
Certified by providerAug 9, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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