| Guidestar Eldercare Neuro-behavioral Group - Texas Pa | |
|
675 Town Square Blvd Ste 200 Garland TX 75040-2991 | |
| (574) 546-1900 | |
| (574) 546-1999 |
| Full Name | Guidestar Eldercare Neuro-behavioral Group - Texas Pa |
|---|---|
| Speciality | Psychologist |
| Location | 675 Town Square Blvd Ste 200, Garland, Texas |
| Authorized Official Name and Position | Steven L Posar (CEO) |
| Authorized Official Contact | 5745461900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidestar Eldercare Neuro-behavioral Group - Texas Pa Po Box 10477 Fort Wayne IN 46852-0477 Ph: (574) 546-1900 | Guidestar Eldercare Neuro-behavioral Group - Texas Pa 675 Town Square Blvd Ste 200 Garland TX 75040-2991 Ph: (574) 546-1900 |
| NPI Number | 1386213031 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 2365844396 |
|---|---|
| Medicare Enrollment ID | O20210713001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386213031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Jana C Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538502109 PECOS PAC ID: 4981844552 Enrollment ID: I20130702000070 |
| Provider Name | Kimberly Yvonne Schmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487271391 PECOS PAC ID: 9638592447 Enrollment ID: I20200713003011 |
| Provider Name | Daniel Heiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396914875 PECOS PAC ID: 3870667983 Enrollment ID: I20210713001958 |
| Provider Name | Stephanie Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518419787 PECOS PAC ID: 4082996103 Enrollment ID: I20210720003648 |
| Provider Name | Stephanie Paduch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033752266 PECOS PAC ID: 8527492719 Enrollment ID: I20220825001967 |
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