| Collin County Mental Health Mental Retardation Center | |
|
1515 Heritage Dr 105 Mckinney TX 75069-3256 | |
| (972) 562-0190 | |
| (972) 665-0076 |
| Full Name | Collin County Mental Health Mental Retardation Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 Heritage Dr, Mckinney, Texas |
| Authorized Official Name and Position | Sheela Antony (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4699633655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collin County Mental Health Mental Retardation Center 1515 Heritage Dr Ste 105 Mckinney TX 75069-3378 Ph: (972) 562-0190 | Collin County Mental Health Mental Retardation Center 1515 Heritage Dr 105 Mckinney TX 75069-3256 Ph: (972) 562-0190 |
| NPI Number | 1871576835 |
|---|---|
| Provider Enumeration Date | 11/23/2005 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 9234117342 |
|---|---|
| Medicare Enrollment ID | O20040713001254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871576835 | NPI | - | NPPES |
| 127377301 | Medicaid | TX | |
| 127377302 | Medicaid | TX | |
| 127377304 | Medicaid | TX | |
| 127377306 | Medicaid | TX | |
| 001007092 | Other | TX | HCS |
| 127377305 | Medicaid | TX | |
| 001010100 | Other | TX | TXHML |
| GR410 | Other | TX | GR-SERVICE COORDINATION |
| 084001901 | Medicaid | TX | |
| 000730601 | Other | TX | ICF-MR-MULLINS |
| 00726901 | Other | TX | ICF-MR-CROSS BEND |
| Provider Name | Danny Franklin Mccaig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427077262 PECOS PAC ID: 6406849108 Enrollment ID: I20040407001039 |
| Provider Name | Stuart D. Crane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023025129 PECOS PAC ID: 8628036365 Enrollment ID: I20041228000306 |
| Provider Name | Manizeh Mirza Gruber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659480747 PECOS PAC ID: 4587753520 Enrollment ID: I20071128000866 |
| Provider Name | Laurel Blackman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194752576 PECOS PAC ID: 5294816773 Enrollment ID: I20080123000152 |
| Provider Name | Ehireme Ibazebo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639373731 PECOS PAC ID: 5092899153 Enrollment ID: I20080227000692 |
| Provider Name | Preeti Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
| Provider Name | Frank Araiza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588605844 PECOS PAC ID: 2860559077 Enrollment ID: I20090316000044 |
| Provider Name | Aminur Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124221965 PECOS PAC ID: 6204973787 Enrollment ID: I20091103000104 |
| Provider Name | Rathidevi M Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265470033 PECOS PAC ID: 6305032772 Enrollment ID: I20101124000456 |
| Provider Name | Carolyn M Rekerdres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104020346 PECOS PAC ID: 7911195367 Enrollment ID: I20101229000339 |
| Provider Name | Olukemi O Adeogun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780991083 PECOS PAC ID: 9436335767 Enrollment ID: I20110520000163 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Darice M Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043479892 PECOS PAC ID: 0042453607 Enrollment ID: I20130829000271 |
| Provider Name | Laura V Settlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750726345 PECOS PAC ID: 5496999534 Enrollment ID: I20130911000688 |
| Provider Name | Tricia G Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972937316 PECOS PAC ID: 7517192230 Enrollment ID: I20131104001338 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
| Provider Name | Namita G Shiralkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053569897 PECOS PAC ID: 4385866599 Enrollment ID: I20141103002240 |
| Provider Name | Deana G Abdel-reheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467696591 PECOS PAC ID: 7315169984 Enrollment ID: I20141114001510 |
| Provider Name | Silby J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
| Provider Name | Natalia Kazakevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
| Provider Name | David L Falkstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467501403 PECOS PAC ID: 4385951458 Enrollment ID: I20150922002377 |
| Provider Name | John D Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169738 PECOS PAC ID: 7810206620 Enrollment ID: I20151019000741 |
| Provider Name | Odochi P Onungwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373673 PECOS PAC ID: 4183790678 Enrollment ID: I20151125000322 |
| Provider Name | Anandkumar B Panchal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
| Provider Name | Bradly J Keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265462378 PECOS PAC ID: 2668454240 Enrollment ID: I20160330000188 |
| Provider Name | Vanessa Brimigion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467820480 PECOS PAC ID: 5092005066 Enrollment ID: I20160602002161 |
| Provider Name | Baer M Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043349277 PECOS PAC ID: 1254622103 Enrollment ID: I20160623000748 |
| Provider Name | Tabitha Muriuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730584475 PECOS PAC ID: 9638464555 Enrollment ID: I20160817000237 |
| Provider Name | Shalini Shetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225451974 PECOS PAC ID: 4284953423 Enrollment ID: I20161209000492 |
| Provider Name | Joy O Ichie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054450 PECOS PAC ID: 9032490586 Enrollment ID: I20161221001838 |
| Provider Name | Alicia A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915266 PECOS PAC ID: 0941573588 Enrollment ID: I20170905000037 |
| Provider Name | Asif Rashid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417012097 PECOS PAC ID: 1759489149 Enrollment ID: I20171122002189 |
| Provider Name | Arjun G Karkhanis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336465806 PECOS PAC ID: 9638476575 Enrollment ID: I20171208000083 |
| Provider Name | Susan Zink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174843510 PECOS PAC ID: 5092993824 Enrollment ID: I20180117001120 |
| Provider Name | Christie Smith Goheen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154776300 PECOS PAC ID: 0941560544 Enrollment ID: I20180130001429 |
| Provider Name | Zachary J Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568880094 PECOS PAC ID: 7416204987 Enrollment ID: I20180716002580 |
| Provider Name | Anna I Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346715273 PECOS PAC ID: 4385998756 Enrollment ID: I20181121001999 |
| Provider Name | Daniel R Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750676532 PECOS PAC ID: 3072883859 Enrollment ID: I20181207000870 |
| Provider Name | Zachary Robert Drennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841728011 PECOS PAC ID: 8325317076 Enrollment ID: I20190123000520 |
| Provider Name | Jamon Blood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316333552 PECOS PAC ID: 8426341926 Enrollment ID: I20190130001747 |
| Provider Name | Kari Whatley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033505979 PECOS PAC ID: 3375853856 Enrollment ID: I20190404001661 |
| Provider Name | Kelly A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
| Provider Name | Vanitha D Kothapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164788709 PECOS PAC ID: 2062716681 Enrollment ID: I20200402000682 |
| Provider Name | Scott J Tlanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
| Provider Name | Eva Studer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437545852 PECOS PAC ID: 1850706698 Enrollment ID: I20210209001086 |
| Provider Name | Karri Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366021701 PECOS PAC ID: 2668880865 Enrollment ID: I20210427001997 |
| Provider Name | Diem Huong Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679014914 PECOS PAC ID: 6608264403 Enrollment ID: I20211028000180 |
| Provider Name | Michael Watkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932761640 PECOS PAC ID: 6901132620 Enrollment ID: I20220308002515 |
| Provider Name | Andrew Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558867465 PECOS PAC ID: 6709132459 Enrollment ID: I20220428000667 |
| Provider Name | Tigidankay Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851750004 PECOS PAC ID: 8921486317 Enrollment ID: I20220525001688 |
| Provider Name | Asadullah Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316923436 PECOS PAC ID: 1153405196 Enrollment ID: I20220713001563 |
| Provider Name | Cassandra Boduch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083177497 PECOS PAC ID: 2163803487 Enrollment ID: I20220719000165 |
| Provider Name | Betty A Towler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932723681 PECOS PAC ID: 3577945070 Enrollment ID: I20220730000471 |
| Provider Name | Kyle M Hodges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134756455 PECOS PAC ID: 4880015650 Enrollment ID: I20220831000479 |
| Provider Name | Van Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194214429 PECOS PAC ID: 0749664258 Enrollment ID: I20220901001924 |
| Provider Name | Jonathan D Artz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841828506 PECOS PAC ID: 5890126445 Enrollment ID: I20221007001150 |
| Provider Name | Marisela Munoz Puga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710515994 PECOS PAC ID: 8325415540 Enrollment ID: I20221101001599 |
| Provider Name | John J Byun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932763620 PECOS PAC ID: 5991035883 Enrollment ID: I20221107000363 |
| Provider Name | Christine Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508103581 PECOS PAC ID: 4789035742 Enrollment ID: I20240104000699 |
| Provider Name | Kimberly Crandall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902338908 PECOS PAC ID: 8325490311 Enrollment ID: I20240116000041 |
| Provider Name | Kenetria Newman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194599506 PECOS PAC ID: 9234581224 Enrollment ID: I20240116000042 |
| Provider Name | April R Hurley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245658541 PECOS PAC ID: 6608228523 Enrollment ID: I20240116004592 |
| Provider Name | Eric Flyg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427581396 PECOS PAC ID: 9830548221 Enrollment ID: I20240121000037 |
| Provider Name | Trevor Gapare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598537995 PECOS PAC ID: 7416309737 Enrollment ID: I20240122004227 |
| Provider Name | Jennifer Goodwin Golden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528571536 PECOS PAC ID: 2365891611 Enrollment ID: I20240307003297 |
| Provider Name | Amber L Hawley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821857194 PECOS PAC ID: 6305284050 Enrollment ID: I20240401002605 |
| Provider Name | Ashley Nicole Dye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003021429 PECOS PAC ID: 5496194300 Enrollment ID: I20240411002270 |
Acadia Psychotherapy & Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5060 Collin Mckinney Pkwy Ste 101, Mckinney, TX 75070 Phone: 325-261-8360 Fax: 325-795-7426 | |
Texas Family Support Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1713 Quarry Ln, Mckinney, TX 75070 Phone: 801-678-3317 | |
A Verbal Approach, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5624 Buttercup Ln, Mckinney, TX 75070 Phone: 281-250-4404 | |
Behavioral Health On Demand, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8751 Collin Mckinney Ste 1102 # 1109, Mckinney, TX 75070 Phone: 469-885-3147 | |
Kay Geers Grimes Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 White Oak Rd, Mckinney, TX 75070 Phone: 214-718-4821 | |
Behavior Care Specialists, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6200 Virginia Pkwy, Mckinney, TX 75071 Phone: 605-271-2690 Fax: 605-271-3956 | |
Reliant Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4450 S Ridge Rd Apt 1204, Mckinney, TX 75070 Phone: 603-264-4544 |