| |
22 Prestige Circle Suite 300 Allen TX 75002 | |
(214) 383-3200 | |
(214) 383-3211 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 22 Prestige Circle, Allen, Texas |
Authorized Official Name and Position | Alexis Thomason (DIRECTOR OF REVENUE CYCLE MANAGEMEN) |
Authorized Official Contact | 2254362529 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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22 Prestige Circle Suite 300 Allen TX 75002 Ph: (214) 383-3200 | 22 Prestige Circle Suite 300 Allen TX 75002 Ph: (214) 383-3200 |
NPI Number | 1053545335 |
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Provider Enumeration Date | 05/14/2009 |
Last Update Date | 07/23/2024 |
Certification Date | 07/23/2024 |
Medicare PECOS PAC ID | 3678626256 |
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Medicare Enrollment ID | O20090729000536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053545335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Alice R Mao |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851309488 PECOS PAC ID: 4385627629 Enrollment ID: I20040609000403 |
Provider Name | Ian L Smalling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114971033 PECOS PAC ID: 0446226112 Enrollment ID: I20040903000202 |
Provider Name | Brian S Earthman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528095882 PECOS PAC ID: 7719929835 Enrollment ID: I20050527000525 |
Provider Name | Matthew N Brams |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639187263 PECOS PAC ID: 8820008303 Enrollment ID: I20060427000575 |
Provider Name | Robert B Freele |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851317101 PECOS PAC ID: 8729084314 Enrollment ID: I20061004000271 |
Provider Name | James Avery Rush |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20080806000250 |
Provider Name | Christopher L Gideon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609033570 PECOS PAC ID: 7517032956 Enrollment ID: I20080819000500 |
Provider Name | Jeannie M Sorgen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598815185 PECOS PAC ID: 7911065503 Enrollment ID: I20081027000353 |
Provider Name | Tonia M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861638512 PECOS PAC ID: 8224195987 Enrollment ID: I20090324000537 |
Provider Name | Cathal P Grant |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255384145 PECOS PAC ID: 6406036185 Enrollment ID: I20110212000108 |
Provider Name | Joel A Holiner |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639174246 PECOS PAC ID: 4284630872 Enrollment ID: I20110308000950 |
Provider Name | Sandra F Dejesus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265783179 PECOS PAC ID: 8527202704 Enrollment ID: I20130910000832 |
Provider Name | Terra Tyler |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356584056 PECOS PAC ID: 1759536485 Enrollment ID: I20141125001859 |
Provider Name | Michelle A Obale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619301223 PECOS PAC ID: 4688990807 Enrollment ID: I20150306000642 |
Provider Name | Ellen Chiao Lee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295026326 PECOS PAC ID: 9739486952 Enrollment ID: I20160401000780 |
Provider Name | Brie Elizabeth Alford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447546387 PECOS PAC ID: 5799926739 Enrollment ID: I20170208000040 |
Provider Name | Marco A Katada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003224932 PECOS PAC ID: 7911215280 Enrollment ID: I20170913000825 |
Provider Name | Nicole A Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700397726 PECOS PAC ID: 0840558250 Enrollment ID: I20171212002827 |
Provider Name | Sonya D Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427092394 PECOS PAC ID: 8022012715 Enrollment ID: I20180102002083 |
Provider Name | Eric D Mann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184040404 PECOS PAC ID: 3173886777 Enrollment ID: I20180412002253 |
Provider Name | Adaeze Meremikwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336625219 PECOS PAC ID: 5799024204 Enrollment ID: I20190228000307 |
Provider Name | Melanie M Stolte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255996997 PECOS PAC ID: 0042547283 Enrollment ID: I20190809001507 |
Provider Name | Linh Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083172225 PECOS PAC ID: 0345670923 Enrollment ID: I20200422001968 |
Provider Name | Shamika Ottley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376173559 PECOS PAC ID: 2961827472 Enrollment ID: I20200730003663 |
Provider Name | Kellie Lynn Westmoreland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740811934 PECOS PAC ID: 9133546914 Enrollment ID: I20200825001002 |
Provider Name | Brandi Michelle Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699315879 PECOS PAC ID: 6800202441 Enrollment ID: I20210308000423 |
Provider Name | Olasunkanmi M Abiodun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457994576 PECOS PAC ID: 5597164129 Enrollment ID: I20210601001936 |
Provider Name | Rae Lynne Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225705056 PECOS PAC ID: 0345638151 Enrollment ID: I20211028000505 |
Provider Name | Luisa Angeles Collins Villares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952947863 PECOS PAC ID: 0244623429 Enrollment ID: I20220210002661 |
Provider Name | Brandi Gebhardt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780336982 PECOS PAC ID: 4981947678 Enrollment ID: I20220516000663 |
Provider Name | Monica Grover |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386991073 PECOS PAC ID: 8123311560 Enrollment ID: I20221020000470 |
Provider Name | Trisha M Lindemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184344764 PECOS PAC ID: 9335515717 Enrollment ID: I20221026003022 |
Provider Name | Linda U Ejem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578284022 PECOS PAC ID: 8820468366 Enrollment ID: I20221228001134 |
Provider Name | Emmanuel Kayode |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083311880 PECOS PAC ID: 3577923077 Enrollment ID: I20230715000200 |
Provider Name | Sarah Riehl |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104053206 PECOS PAC ID: 3173767217 Enrollment ID: I20240422003073 |
Provider Name | Paige Madison Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356019285 PECOS PAC ID: 5193165124 Enrollment ID: I20240424002744 |
Provider Name | Syed Yusuf |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427547546 PECOS PAC ID: 5092042168 Enrollment ID: I20240426000164 |
Provider Name | Sharon Walsh |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457958472 PECOS PAC ID: 2860834967 Enrollment ID: I20240521002118 |
Provider Name | Camille Holiner |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1124793351 PECOS PAC ID: 1658813399 Enrollment ID: I20240610000634 |
Provider Name | Toni-ann Ashley Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033813852 PECOS PAC ID: 4082158795 Enrollment ID: I20240703004094 |
Provider Name | Grace Akangbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780335992 PECOS PAC ID: 7214474162 Enrollment ID: I20240808004046 |
Provider Name | Courtney Olivia Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679274690 PECOS PAC ID: 0143768879 Enrollment ID: I20240813003172 |
Provider Name | Anh Duc Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801522404 PECOS PAC ID: 4688113137 Enrollment ID: I20240828001389 |
Provider Name | Lyna Phuong Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841020203 PECOS PAC ID: 9638603855 Enrollment ID: I20241111003807 |
Provider Name | Surya Abraham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780105312 PECOS PAC ID: 8224564406 Enrollment ID: I20241211002430 |
Behavioral Health Assessments Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Glasgow Ln, Allen, TX 75013 Phone: 800-207-1592 | |
Reece Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 825 Watters Creek Blvd Ste 250, Allen, TX 75013 Phone: 945-253-5195 Fax: 469-713-2432 | |
Thompson Counseling And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 N Greenville Ave Ste 310, Allen, TX 75002 Phone: 972-679-2167 | |
Penny 4 Your Thoughts Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 S Watters Rd Ste 230, Allen, TX 75013 Phone: 214-415-0178 | |
Great Pathways Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 W Mcdermott Dr Ste 200, Allen, TX 75013 Phone: 469-564-4211 Fax: 469-242-9719 |