Heading Health | |
3001 Bee Caves Rd Ste 220 Austin TX 78746-5590 | |
(855) 204-2502 | |
Not Available |
Full Name | Heading Health |
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Speciality | Psychiatry & Neurology |
Location | 3001 Bee Caves Rd Ste 220, Austin, Texas |
Authorized Official Name and Position | Chimene T Perez (CREDENTIALING MANAGER) |
Authorized Official Contact | 8458008911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heading Health Po Box 738720 Dallas TX 75373-8720 Ph: (855) 204-2502 | Heading Health 3001 Bee Caves Rd Ste 220 Austin TX 78746-5590 Ph: (855) 204-2502 |
NPI Number | 1568055192 |
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Provider Enumeration Date | 02/15/2021 |
Last Update Date | 10/23/2024 |
Certification Date | 10/23/2024 |
Medicare PECOS PAC ID | 9537578810 |
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Medicare Enrollment ID | O20210518000994 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568055192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Ann K Johnson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154365294 PECOS PAC ID: 8123017050 Enrollment ID: I20040506001774 |
Provider Name | Edward Jason Muldrow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851378814 PECOS PAC ID: 0244201879 Enrollment ID: I20040805000478 |
Provider Name | Suzanna J Hodges |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932402385 PECOS PAC ID: 2961460126 Enrollment ID: I20041221000099 |
Provider Name | Tamara S Brown |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770720914 PECOS PAC ID: 5193878882 Enrollment ID: I20131220000563 |
Provider Name | Manuel R Emperador |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649682790 PECOS PAC ID: 7416179296 Enrollment ID: I20141111001267 |
Provider Name | Damaris Chukwura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992100903 PECOS PAC ID: 8426374364 Enrollment ID: I20150311002033 |
Provider Name | Roman Gabriel Venegas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467704783 PECOS PAC ID: 0840579991 Enrollment ID: I20161114002079 |
Provider Name | Bonnie S Morphew |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134234727 PECOS PAC ID: 9830341809 Enrollment ID: I20170112000262 |
Provider Name | Pamela A Dockery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619348604 PECOS PAC ID: 5193092328 Enrollment ID: I20170518001867 |
Provider Name | Latoya C Nottage-murphy |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467896415 PECOS PAC ID: 9830457977 Enrollment ID: I20171220000233 |
Provider Name | Kristen Vianey Dale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588158042 PECOS PAC ID: 6507118072 Enrollment ID: I20181010003390 |
Provider Name | Amy M Gobert-guerra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922595339 PECOS PAC ID: 5395098255 Enrollment ID: I20181024000252 |
Provider Name | Jennifer Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407336977 PECOS PAC ID: 7810241932 Enrollment ID: I20181108000692 |
Provider Name | Alexandra Harvest Chapman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912458498 PECOS PAC ID: 6709129505 Enrollment ID: I20190520000061 |
Provider Name | Jellirica Peters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962904722 PECOS PAC ID: 2860756277 Enrollment ID: I20190620000538 |
Provider Name | Tyson Karl Lippe |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164804282 PECOS PAC ID: 7113216888 Enrollment ID: I20190813002728 |
Provider Name | Robert O Robinson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386756989 PECOS PAC ID: 1355501388 Enrollment ID: I20200414002346 |
Provider Name | Teressa Carter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114245594 PECOS PAC ID: 7618307844 Enrollment ID: I20200430001112 |
Provider Name | Darren Fred |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447609052 PECOS PAC ID: 0446545362 Enrollment ID: I20201027002103 |
Provider Name | Chad E Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922600444 PECOS PAC ID: 2961813183 Enrollment ID: I20201119001369 |
Provider Name | Mambo J Ndingwan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326675737 PECOS PAC ID: 0840604617 Enrollment ID: I20210309001573 |
Provider Name | Andrea E Marquez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225335110 PECOS PAC ID: 3577967710 Enrollment ID: I20210810001426 |
Provider Name | Dana Ebeling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114353588 PECOS PAC ID: 4082840673 Enrollment ID: I20210818000158 |
Provider Name | Erin K Cochran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740782937 PECOS PAC ID: 6507254737 Enrollment ID: I20211021000047 |
Provider Name | Sally J Twellman |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1871748749 PECOS PAC ID: 7315335551 Enrollment ID: I20211021000098 |
Provider Name | Patricia J Hernandez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538824206 PECOS PAC ID: 7719376201 Enrollment ID: I20211123001875 |
Provider Name | Donna J Vidales |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235896580 PECOS PAC ID: 7719378181 Enrollment ID: I20211217001575 |
Provider Name | Kenneth Brown |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639645039 PECOS PAC ID: 1658764568 Enrollment ID: I20220216002057 |
Provider Name | Joseph C Swider |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033156294 PECOS PAC ID: 8628175791 Enrollment ID: I20220314000185 |
Provider Name | Lorena Alvarez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629710926 PECOS PAC ID: 4981091261 Enrollment ID: I20220505001482 |
Provider Name | Arif M Noorbaksh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275912255 PECOS PAC ID: 3678951464 Enrollment ID: I20220607002253 |
Provider Name | Maranda Medina |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720726607 PECOS PAC ID: 4284012931 Enrollment ID: I20220608001267 |
Provider Name | Vecheslav Fedorchenco |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750815189 PECOS PAC ID: 1759762123 Enrollment ID: I20220715001831 |
Provider Name | Ivan Srdanovic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184262735 PECOS PAC ID: 7416330428 Enrollment ID: I20220823003241 |
Provider Name | Emma Smith |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205466356 PECOS PAC ID: 2466823778 Enrollment ID: I20230125000584 |
Provider Name | Shaunae Tolson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720448905 PECOS PAC ID: 3274971387 Enrollment ID: I20240409003398 |
Provider Name | Crispin Nmn Feliciano |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205577616 PECOS PAC ID: 9335588052 Enrollment ID: I20240415001798 |
Provider Name | Tabitha Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922874239 PECOS PAC ID: 9830538388 Enrollment ID: I20240416003388 |
Provider Name | Susan M Hogan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649452681 PECOS PAC ID: 4284073420 Enrollment ID: I20240419002324 |
Provider Name | Arlene Mcmillan |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073266177 PECOS PAC ID: 3375982523 Enrollment ID: I20240419002701 |
Assessment Associates Of Austin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Bee Caves Rd., Austin, TX 78746 Phone: 512-328-2875 Fax: 512-328-1924 | |
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Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
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