Organization
GRACELAND PSYCHIATRIC AND NEUROMODULATION CENTER PLLC
Active
Organization
GRACELAND PSYCHIATRIC AND NEUROMODULATION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEMI POPOOLA (MEDICAL DIRECTOR)
(210) 868-5801
Entity
Organization
Contact information
Practice address
2411 NE LOOP 410 STE 114, SAN ANTONIO, TX 78217-6600
(210) 868-5801
(726) 201-1558
Mailing address
2411 NE LOOP 410 STE 114, SAN ANTONIO, TX 78217-6600
(210) 868-5801
(726) 201-1558
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/15/2021
Last updated
01/14/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up