| Center For Psychological Services, Pllc | |
|
6043 W Interstate 20 Arlington TX 76017-1042 | |
| (817) 533-0825 | |
| Not Available |
| Full Name | Center For Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6043 W Interstate 20, Arlington, Texas |
| Authorized Official Name and Position | Angela Mitchell (GENERAL PARTNER) |
| Authorized Official Contact | 8175330818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychological Services, Pllc 6043 W Interstate 20 Arlington TX 76017-1042 Ph: () - | Center For Psychological Services, Pllc 6043 W Interstate 20 Arlington TX 76017-1042 Ph: (817) 533-0825 |
| NPI Number | 1447501259 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 03/06/2014 |
| Medicare PECOS PAC ID | 1951551076 |
|---|---|
| Medicare Enrollment ID | O20121026000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447501259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Angela Diane Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659334076 PECOS PAC ID: 1850203076 Enrollment ID: I20060427000070 |
| Provider Name | Kimberly W Booker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568542587 PECOS PAC ID: 6800998824 Enrollment ID: I20070222000250 |
| Provider Name | Jennifer L Schroeder-steward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174747679 PECOS PAC ID: 6002906146 Enrollment ID: I20071213000313 |
| Provider Name | Mary Christine Lochridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659556553 PECOS PAC ID: 4880772292 Enrollment ID: I20080425000411 |
| Provider Name | Carol Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780950436 PECOS PAC ID: 8628232030 Enrollment ID: I20120615000251 |
| Provider Name | Mara Lysa Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700145638 PECOS PAC ID: 4183878143 Enrollment ID: I20130129000506 |
| Provider Name | Michael Gerard Selders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851531925 PECOS PAC ID: 4486892353 Enrollment ID: I20130605000008 |
| Provider Name | Sonia Schwalen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952703704 PECOS PAC ID: 0143545194 Enrollment ID: I20150213001448 |
| Provider Name | Kristen J Belloni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427461300 PECOS PAC ID: 5092032870 Enrollment ID: I20150317001067 |
| Provider Name | Kalima Charway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831546944 PECOS PAC ID: 8527359660 Enrollment ID: I20160621002386 |
| Provider Name | Alan Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417329905 PECOS PAC ID: 9032401336 Enrollment ID: I20160707000245 |
| Provider Name | Samantha Leigh Janecek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427576198 PECOS PAC ID: 0749547719 Enrollment ID: I20171129001576 |
| Provider Name | Nastassia Shanae Toomer Greer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720597461 PECOS PAC ID: 8820344252 Enrollment ID: I20180627001979 |
| Provider Name | Frank Enriquez Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730674888 PECOS PAC ID: 6709123086 Enrollment ID: I20190124000829 |
| Provider Name | Kayla Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720558992 PECOS PAC ID: 5193062487 Enrollment ID: I20190124001146 |
| Provider Name | John A Maddoux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386159705 PECOS PAC ID: 4789921099 Enrollment ID: I20190124002133 |
| Provider Name | Randie K Harrings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164714150 PECOS PAC ID: 8123448297 Enrollment ID: I20201012002879 |
| Provider Name | Leann Vernice Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386311454 PECOS PAC ID: 5991194714 Enrollment ID: I20211117002201 |
| Provider Name | Kamaria Chisolm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760169247 PECOS PAC ID: 0941662696 Enrollment ID: I20230814000993 |
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