| Bent Tree Psychiatric Assoc | |
|
6839 Communications Pkwy Plano TX 75024 | |
| (972) 733-7242 | |
| Not Available |
| Full Name | Bent Tree Psychiatric Assoc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6839 Communications Pkwy, Plano, Texas |
| Authorized Official Name and Position | Nancy Donachie (OWNER) |
| Authorized Official Contact | 9727337242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bent Tree Psychiatric Assoc 1820 Preston Park Blvd Ste 2500 Plano TX 75093-3674 Ph: (972) 733-7242 | Bent Tree Psychiatric Assoc 6839 Communications Pkwy Plano TX 75024 Ph: (972) 733-7242 |
| NPI Number | 1447225420 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Medicare PECOS PAC ID | 9739124561 |
|---|---|
| Medicare Enrollment ID | O20050622001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447225420 | NPI | - | NPPES |
| 085349101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert Wesley Benigar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750392734 PECOS PAC ID: 1557375706 Enrollment ID: I20060127000806 |
| Provider Name | Badia I Harlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700804499 PECOS PAC ID: 0143229724 Enrollment ID: I20061208000127 |
| Provider Name | Rekha P Pole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225049224 PECOS PAC ID: 5597861153 Enrollment ID: I20070428000099 |
| Provider Name | David W Crumpacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912996562 PECOS PAC ID: 6901966316 Enrollment ID: I20081114000526 |
| Provider Name | Dan E Steinfink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144295296 PECOS PAC ID: 5193864585 Enrollment ID: I20100927001412 |
| Provider Name | Alipio B Mascarenhas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861467912 PECOS PAC ID: 1355533027 Enrollment ID: I20101013000615 |
| Provider Name | Ronald C Moomaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760504823 PECOS PAC ID: 6103094073 Enrollment ID: I20110720000159 |
| Provider Name | Sara Jaquay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881103190 PECOS PAC ID: 6204199029 Enrollment ID: I20180409002314 |
| Provider Name | Addison Zaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669953972 PECOS PAC ID: 3173877412 Enrollment ID: I20181126001987 |
| Provider Name | Diana Patricia Sabagh Sabagh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679891204 PECOS PAC ID: 1254627672 Enrollment ID: I20190624002644 |
| Provider Name | Tahseen Sharona Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275127748 PECOS PAC ID: 8527475763 Enrollment ID: I20210406000113 |
| Provider Name | Marquetta Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205417052 PECOS PAC ID: 2567867591 Enrollment ID: I20210830000023 |
| Provider Name | Jennifer T Doan-pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962179911 PECOS PAC ID: 9234527680 Enrollment ID: I20211104000332 |
| Provider Name | Aurif Abedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922064922 PECOS PAC ID: 2163473919 Enrollment ID: I20211111000712 |
| Provider Name | Laura Kelly Slaughter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871739532 PECOS PAC ID: 8325345101 Enrollment ID: I20220201002481 |
| Provider Name | Hormazd Minwalla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578060638 PECOS PAC ID: 5991045601 Enrollment ID: I20220718000635 |
| Provider Name | Charlie Ann Maria Comrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649996372 PECOS PAC ID: 2860860160 Enrollment ID: I20221117001038 |
| Provider Name | Paul Pastolero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619329067 PECOS PAC ID: 1153615422 Enrollment ID: I20231031003313 |
| Provider Name | Shanila Shagufta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124513270 PECOS PAC ID: 2961808027 Enrollment ID: I20231102001949 |
| Provider Name | Jennifer Christine Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255052023 PECOS PAC ID: 8527418482 Enrollment ID: I20231219002471 |
| Provider Name | Jordan Brummett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780257949 PECOS PAC ID: 1355792706 Enrollment ID: I20240202000569 |
| Provider Name | Innocent Chidera Anunobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588430979 PECOS PAC ID: 7517300080 Enrollment ID: I20240212003387 |
| Provider Name | Scott Thomas Newton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891324349 PECOS PAC ID: 4688119399 Enrollment ID: I20240717001684 |
| Provider Name | Nancy Madia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417584582 PECOS PAC ID: 9537584289 Enrollment ID: I20241119004747 |
| Provider Name | Jennifer Cuyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265972194 PECOS PAC ID: 7810422607 Enrollment ID: I20241203003211 |
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