| Emergency Psychiatric Medicine, Pllc | |
|
7808 Clodus Fields Dr Dallas TX 75251-2206 | |
| (972) 566-7260 | |
| (972) 566-6237 |
| Full Name | Emergency Psychiatric Medicine, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7808 Clodus Fields Dr, Dallas, Texas |
| Authorized Official Name and Position | Jeff Henderson (PRESIDENT) |
| Authorized Official Contact | 9724018726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Psychiatric Medicine, Pllc 7808 Clodus Fields Dr Dallas TX 75251-2206 Ph: (972) 566-7260 | Emergency Psychiatric Medicine, Pllc 7808 Clodus Fields Dr Dallas TX 75251-2206 Ph: (972) 566-7260 |
| NPI Number | 1558538520 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 02/06/2009 |
| Medicare PECOS PAC ID | 2860560059 |
|---|---|
| Medicare Enrollment ID | O20080930000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558538520 | NPI | - | NPPES |
| 1974578-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Roger G Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538141528 PECOS PAC ID: 0446334361 Enrollment ID: I20080229000478 |
| Provider Name | Jahi K Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295069573 PECOS PAC ID: 9234263195 Enrollment ID: I20100813000247 |
| Provider Name | Elizabeth U Ucheoma-cofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598962995 PECOS PAC ID: 0042476491 Enrollment ID: I20120730000515 |
| Provider Name | Akinwande Akintola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942265038 PECOS PAC ID: 4688823057 Enrollment ID: I20120927000823 |
| Provider Name | Kelvin D Exum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659567824 PECOS PAC ID: 6901973833 Enrollment ID: I20131015000244 |
| Provider Name | Ronnie A Pollard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104871243 PECOS PAC ID: 6507040748 Enrollment ID: I20140128000104 |
| Provider Name | Joshua J Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083842322 PECOS PAC ID: 9133347552 Enrollment ID: I20140827000993 |
| Provider Name | Azim Fatima |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326363888 PECOS PAC ID: 0840512828 Enrollment ID: I20141202000839 |
| Provider Name | Jeffrey Davidson Briggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548655517 PECOS PAC ID: 6406137181 Enrollment ID: I20190823001043 |
| Provider Name | Omar M Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184954 PECOS PAC ID: 8426354853 Enrollment ID: I20201125001746 |
| Provider Name | Sameera Rasheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659752020 PECOS PAC ID: 0840529434 Enrollment ID: I20210614000091 |
| Provider Name | Babak Akbarian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255740817 PECOS PAC ID: 6406127273 Enrollment ID: I20210722000670 |
| Provider Name | Roberto Enrique Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841711025 PECOS PAC ID: 1052682572 Enrollment ID: I20220608002094 |
| Provider Name | Nadia Raj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760971469 PECOS PAC ID: 8224386735 Enrollment ID: I20220621000024 |
| Provider Name | Syed Mohammed Saleh Uddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073047924 PECOS PAC ID: 3870972540 Enrollment ID: I20220627002209 |
| Provider Name | Zephan C Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255829305 PECOS PAC ID: 9830570670 Enrollment ID: I20220725003046 |
| Provider Name | Khadijah Oluwatoyin Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134805666 PECOS PAC ID: 5294197489 Enrollment ID: I20230821001786 |
| Provider Name | Blessing Rita Ugbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285324442 PECOS PAC ID: 2264896562 Enrollment ID: I20230919002334 |
| Provider Name | Diane Marie Lokay-nickell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316090418 PECOS PAC ID: 4385097898 Enrollment ID: I20240131004973 |
| Provider Name | Naeem Z Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942252317 PECOS PAC ID: 0547263626 Enrollment ID: I20240314002513 |
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