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19701 Kingwood Dr Bldg 3 Kingwood TX 77339-3773 | |
| (281) 358-5701 | |
| (281) 358-7061 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19701 Kingwood Dr, Kingwood, Texas |
| Authorized Official Name and Position | Athi P Venkatesh (PROVIDER) |
| Authorized Official Contact | 2813585701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
19701 Kingwood Dr Bldg 3 Kingwood TX 77339-3773 Ph: (281) 358-5701 | 19701 Kingwood Dr Bldg 3 Kingwood TX 77339-3773 Ph: (281) 358-5701 |
| NPI Number | 1780703942 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 0749213403 |
|---|---|
| Medicare Enrollment ID | O20050913001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780703942 | NPI | - | NPPES |
| 176061302 | Medicaid | TX | |
| 45D2077598 | Other | TX | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Athi P Venkatesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902952112 PECOS PAC ID: 9335125608 Enrollment ID: I20040628000265 |
| Provider Name | Susan G Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477572782 PECOS PAC ID: 6305800863 Enrollment ID: I20041115000630 |
| Provider Name | Joann Negron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902893530 PECOS PAC ID: 6800836891 Enrollment ID: I20061016000090 |
| Provider Name | Brechtje C Van De Laar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194024075 PECOS PAC ID: 9638334899 Enrollment ID: I20120713000323 |
| Provider Name | Aruna Perumal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235579715 PECOS PAC ID: 3375779713 Enrollment ID: I20131113001651 |
| Provider Name | Kristi Sikes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881989788 PECOS PAC ID: 4486968054 Enrollment ID: I20150728003737 |
| Provider Name | Alyssa Mcelwany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679915532 PECOS PAC ID: 8921242538 Enrollment ID: I20150912000136 |
| Provider Name | Emily J Brozgal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881018265 PECOS PAC ID: 1355641796 Enrollment ID: I20151208000145 |
| Provider Name | Peris Mwangi Thuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336680263 PECOS PAC ID: 6507134228 Enrollment ID: I20170621000201 |
| Provider Name | Bradley P Borsboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740717180 PECOS PAC ID: 3971841784 Enrollment ID: I20190220001140 |
| Provider Name | Michael A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437692282 PECOS PAC ID: 8426398108 Enrollment ID: I20190315000217 |
| Provider Name | Kevin Charles Houston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043820285 PECOS PAC ID: 1052720141 Enrollment ID: I20210430000987 |
| Provider Name | Aaron Lew Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134706930 PECOS PAC ID: 1759790934 Enrollment ID: I20210521000735 |
| Provider Name | Nareeman Ali Aqeel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235874041 PECOS PAC ID: 4587046115 Enrollment ID: I20220729000268 |
Hopeful Hearts Essential Speech And Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Rockmead Dr Ste 200, Kingwood, TX 77339 Phone: 832-814-7798 | |
Helping Hearts And Hands Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1442 Kingwood Dr # 10, Kingwood, TX 77339 Phone: 281-361-3161 | |
Texas Psychiatry Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Ladbrook Dr, Kingwood, TX 77339 Phone: 281-616-3314 Fax: 281-869-9200 | |
Joseph Malieto Heath Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Ladbrook Dr, Kingwood, TX 77339 Phone: 832-315-4328 | |
Daybreak Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Oak St, Kingwood, TX 77339 Phone: 281-854-8188 | |
Fernando G. Torres, M.d., Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Ladbrook Dr, Kingwood, TX 77339 Phone: 281-361-6400 Fax: 281-361-6408 |