Organization · Type 2 NPI
Kintsugi Cognitive PLLC
Clinical Psychologist · San Antonio, TX
Practice location
11122 Wurzbach Rd Ste 201C
San Antonio, TX 78230-2575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Clinical Psychologist Primary | 103TC0700X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1629980404
Kintsugi Cognitive PLLC's National Provider Identifier is 1629980404, issued on Sep 17, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Antonio, TX. The record was last updated on Sep 17, 2026.