| Che Behavioral Health Services Of Texas, P.a. | |
|
4500 Mercantile Plaza Dr Ste 300 Ft Worth TX 76137-4206 | |
| (888) 515-3834 | |
| Not Available |
| Full Name | Che Behavioral Health Services Of Texas, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 4500 Mercantile Plaza Dr Ste 300, Ft Worth, Texas |
| Authorized Official Name and Position | Christopher Dennis (MD) |
| Authorized Official Contact | 8885153834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Che Behavioral Health Services Of Texas, P.a. Po Box 70370 Newark NJ 07101-0096 Ph: (888) 515-3834 | Che Behavioral Health Services Of Texas, P.a. 4500 Mercantile Plaza Dr Ste 300 Ft Worth TX 76137-4206 Ph: (888) 515-3834 |
| NPI Number | 1174135453 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 11/10/2022 |
| Certification Date | 11/10/2022 |
| Medicare PECOS PAC ID | 0648683706 |
|---|---|
| Medicare Enrollment ID | O20210108001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174135453 | NPI | - | NPPES |
| Provider Name | Pheba Pappachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053757179 PECOS PAC ID: 3173750130 Enrollment ID: I20131218001511 |
| Provider Name | Susan A Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982700365 PECOS PAC ID: 8325025398 Enrollment ID: I20151007001452 |
| Provider Name | Fiona Mao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235665878 PECOS PAC ID: 3274801790 Enrollment ID: I20170623001918 |
| Provider Name | Sherry Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639328222 PECOS PAC ID: 0345307914 Enrollment ID: I20180416001797 |
| Provider Name | Yaima Alonso-jeckell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609141910 PECOS PAC ID: 4587967120 Enrollment ID: I20201002000677 |
| Provider Name | Christopher Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811068349 PECOS PAC ID: 5092709402 Enrollment ID: I20210108001695 |
| Provider Name | Kristel Carrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487914404 PECOS PAC ID: 3678794997 Enrollment ID: I20210805002166 |
| Provider Name | Ellen S Takher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164860458 PECOS PAC ID: 0446548648 Enrollment ID: I20210922001320 |
| Provider Name | Benjamin Luis Egusquiza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073889150 PECOS PAC ID: 8426367244 Enrollment ID: I20211008000490 |
| Provider Name | Modupe Olatunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063059756 PECOS PAC ID: 1759789464 Enrollment ID: I20211011002684 |
| Provider Name | Sarah Katherine Witter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740955418 PECOS PAC ID: 0042600843 Enrollment ID: I20211210000339 |
| Provider Name | Olubukola Yoade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396328308 PECOS PAC ID: 5193119097 Enrollment ID: I20220218000077 |
| Provider Name | Ayo Gathing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073798849 PECOS PAC ID: 2163580325 Enrollment ID: I20220824001738 |
| Provider Name | Lisa C Diamond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184710550 PECOS PAC ID: 6800924663 Enrollment ID: I20230531000014 |
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