INMINDOUT EMOTIONAL WELLNESS CENTER, LLC – Psychologist, NPI 1457799330
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INMINDOUT EMOTIONAL WELLNESS CENTER, LLC
262 N UNION AVE
NEW BRAUNFELS, TX 781304450
Phone: (830) 730-6090
Type: Mailing
9846 Lorene Ln
San Antonio, TX 782164438
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Location
2003 Medical Pkwy Ste C
San Marcos, TX 786667554
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Location
12227 Huebner Rd Ste 101
San Antonio, TX 782301251
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Location
1996 Schertz Pkwy Ste 202
Schertz, TX 781541677
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Location
3506 Los Milagros
Mission, TX 785727905
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Location
21252 Gathering Oak Ste 106
San Antonio, TX 782603392
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Location
645 N WALNUT AVE
NEW BRAUNFELS, TX 781307925
Phone: (830) 730-6090
Fax: (830) 455-4355
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (343 days ago).
Enrollment records
1
Earliest due date
2025-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140131000917 | O | Clinic/Group Practice | TX | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78130)
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