| Mhmr Of Tarrant County | |
|
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277 | |
| (817) 569-4396 | |
| (817) 569-4517 |
| Full Name | Mhmr Of Tarrant County |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3840 Hulen St, Fort Worth, Texas |
| Authorized Official Name and Position | Angie Swett (ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 8175694039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhmr Of Tarrant County Po Box 2603 Htn, Client Accounting Fort Worth TX 76113-2603 Ph: (817) 569-4396 | Mhmr Of Tarrant County 3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277 Ph: (817) 569-4396 |
| NPI Number | 1952423782 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Medicare PECOS PAC ID | 6406755693 |
|---|---|
| Medicare Enrollment ID | O20040107000397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952423782 | NPI | - | NPPES |
| 081599501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | (Texas) | Secondary |
| Provider Name | Carol A Nati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326091075 PECOS PAC ID: 8426957465 Enrollment ID: I20040108000166 |
| Provider Name | Laura O Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821169996 PECOS PAC ID: 2668455767 Enrollment ID: I20040610000207 |
| Provider Name | Tarakumar B Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386762391 PECOS PAC ID: 9638153380 Enrollment ID: I20040617001698 |
| Provider Name | Sarah L Strebeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790895027 PECOS PAC ID: 1153300629 Enrollment ID: I20040717000367 |
| Provider Name | Mayanaz Syeda Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649338625 PECOS PAC ID: 5294715892 Enrollment ID: I20040723000547 |
| Provider Name | Craig E Pannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013925460 PECOS PAC ID: 7618947508 Enrollment ID: I20040728000988 |
| Provider Name | Elma Granado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215980644 PECOS PAC ID: 3577534205 Enrollment ID: I20040804001668 |
| Provider Name | Christopher G Bellah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700088648 PECOS PAC ID: 6709813652 Enrollment ID: I20050721000725 |
| Provider Name | Valorie G Tadlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144406612 PECOS PAC ID: 0042241887 Enrollment ID: I20050822001216 |
| Provider Name | Gary Etter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427000264 PECOS PAC ID: 6305879693 Enrollment ID: I20050916000392 |
| Provider Name | Anant Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437187838 PECOS PAC ID: 5092726653 Enrollment ID: I20060510000257 |
| Provider Name | Alesha J Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306040977 PECOS PAC ID: 8426147455 Enrollment ID: I20071128000831 |
| Provider Name | Bradley C Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588855407 PECOS PAC ID: 5395827968 Enrollment ID: I20080205000207 |
| Provider Name | Sharon Gay Lemons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578788477 PECOS PAC ID: 9739266388 Enrollment ID: I20080407000203 |
| Provider Name | Chandrakant H Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356409981 PECOS PAC ID: 5597843474 Enrollment ID: I20080417000127 |
| Provider Name | Saira Dar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366412165 PECOS PAC ID: 7911949540 Enrollment ID: I20080607000056 |
| Provider Name | Zohra R Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588672422 PECOS PAC ID: 2264596337 Enrollment ID: I20090204000490 |
| Provider Name | Shelia Cheatham-martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417182627 PECOS PAC ID: 6204989288 Enrollment ID: I20090810000200 |
| Provider Name | Casey B Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962656272 PECOS PAC ID: 7517005283 Enrollment ID: I20091118000088 |
| Provider Name | Suresh Sureddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710932561 PECOS PAC ID: 3779596077 Enrollment ID: I20100325001125 |
| Provider Name | Chandramohan G Mudaliar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699749077 PECOS PAC ID: 2365578606 Enrollment ID: I20100326000001 |
| Provider Name | Holly Colleen Dubois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20100513001132 |
| Provider Name | Scott C Paulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083934558 PECOS PAC ID: 5092849869 Enrollment ID: I20100816000360 |
| Provider Name | Farrukh L Bhatti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457399842 PECOS PAC ID: 6204863830 Enrollment ID: I20101007001381 |
| Provider Name | Joseph H Burkett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194883819 PECOS PAC ID: 5092614297 Enrollment ID: I20101101000545 |
| Provider Name | James Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659439214 PECOS PAC ID: 7517151764 Enrollment ID: I20101101001255 |
| Provider Name | Suzanne Guynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700896313 PECOS PAC ID: 7719882208 Enrollment ID: I20101110000896 |
| Provider Name | Davinder H Dhingra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912065517 PECOS PAC ID: 6406042811 Enrollment ID: I20101124000861 |
| Provider Name | Shazia Hamid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750500658 PECOS PAC ID: 1951461813 Enrollment ID: I20101203001194 |
| Provider Name | Garrick C Prejean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811055452 PECOS PAC ID: 0648468785 Enrollment ID: I20101216000293 |
| Provider Name | Geetha D Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285792820 PECOS PAC ID: 9234311135 Enrollment ID: I20110315000032 |
| Provider Name | Robert L Mims |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851303135 PECOS PAC ID: 2961688825 Enrollment ID: I20110511000242 |
| Provider Name | Lili Meisamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386894277 PECOS PAC ID: 0446436182 Enrollment ID: I20110516000153 |
| Provider Name | Sarah L Hardy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487833067 PECOS PAC ID: 4486831518 Enrollment ID: I20110526000738 |
| Provider Name | Carla J Egyed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306073937 PECOS PAC ID: 3274714175 Enrollment ID: I20110711000391 |
| Provider Name | Erica L Swicegood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720272727 PECOS PAC ID: 5698946937 Enrollment ID: I20110919000390 |
| Provider Name | Melissa Chavira De La Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376829051 PECOS PAC ID: 7113192204 Enrollment ID: I20111220000113 |
| Provider Name | Staci Gottlieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699052555 PECOS PAC ID: 6800057662 Enrollment ID: I20120423000364 |
| Provider Name | Benjamin Allen Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285907873 PECOS PAC ID: 1355507153 Enrollment ID: I20120724000060 |
| Provider Name | Deborah D Lawson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972743441 PECOS PAC ID: 0547416018 Enrollment ID: I20120816000268 |
| Provider Name | Douglas W Segars |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649553165 PECOS PAC ID: 2062668478 Enrollment ID: I20120816000846 |
| Provider Name | Justin M Dyniewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588875827 PECOS PAC ID: 5799932315 Enrollment ID: I20120904000163 |
| Provider Name | Desirae J Reeder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508139965 PECOS PAC ID: 0749439784 Enrollment ID: I20121005000555 |
| Provider Name | Anil Swarup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952593048 PECOS PAC ID: 6507955036 Enrollment ID: I20121011000918 |
| Provider Name | Lacey Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700130861 PECOS PAC ID: 9436303500 Enrollment ID: I20130128000154 |
| Provider Name | Amy W Kunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184965899 PECOS PAC ID: 7911146568 Enrollment ID: I20130612000227 |
| Provider Name | Pamela Davis Beezley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619218849 PECOS PAC ID: 1658510714 Enrollment ID: I20130620000516 |
| Provider Name | Jemini Avery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750628756 PECOS PAC ID: 3476796921 Enrollment ID: I20130830000605 |
| Provider Name | Nanette N Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942469143 PECOS PAC ID: 6709029226 Enrollment ID: I20130903000477 |
| Provider Name | Holly H Cannon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043547623 PECOS PAC ID: 5193969228 Enrollment ID: I20130911000590 |
| Provider Name | Brian Thomas Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750723813 PECOS PAC ID: 0648405290 Enrollment ID: I20131106001797 |
| Provider Name | Michael J Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194156414 PECOS PAC ID: 8123259900 Enrollment ID: I20140319001515 |
| Provider Name | Elizabeth A Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245408798 PECOS PAC ID: 0143451567 Enrollment ID: I20140328001051 |
| Provider Name | Joanne R Dispo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477981702 PECOS PAC ID: 0446482335 Enrollment ID: I20140408000497 |
| Provider Name | Carolyn B Presnall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134512601 PECOS PAC ID: 9436477874 Enrollment ID: I20150414001810 |
| Provider Name | Jody Alan Rubenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114030558 PECOS PAC ID: 3577880541 Enrollment ID: I20150701000170 |
| Provider Name | Jamie Beth Benjamin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740575059 PECOS PAC ID: 6507178522 Enrollment ID: I20150706001277 |
| Provider Name | Adeline E Abam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277056 PECOS PAC ID: 6204136138 Enrollment ID: I20151130000194 |
| Provider Name | Keisha A Yahagi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073953394 PECOS PAC ID: 2860795747 Enrollment ID: I20160127000964 |
| Provider Name | Renata Zelvyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821455999 PECOS PAC ID: 6305144791 Enrollment ID: I20160419000961 |
| Provider Name | Monica Durham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740666957 PECOS PAC ID: 1951689157 Enrollment ID: I20161021001964 |
| Provider Name | Tram B Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265987754 PECOS PAC ID: 1658659404 Enrollment ID: I20161028001139 |
| Provider Name | Jocelyn M Urbano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037467 PECOS PAC ID: 5496034456 Enrollment ID: I20161115000301 |
| Provider Name | Oluyemi M Shorunke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053860148 PECOS PAC ID: 1052691839 Enrollment ID: I20161214000129 |
| Provider Name | Robert Morgan Peacock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750823092 PECOS PAC ID: 6709167331 Enrollment ID: I20161220000040 |
| Provider Name | Sonal P Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851680300 PECOS PAC ID: 4981842267 Enrollment ID: I20161220000570 |
| Provider Name | Julius S Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073883815 PECOS PAC ID: 7810277985 Enrollment ID: I20170109000583 |
| Provider Name | Lindsey A Sarna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144772773 PECOS PAC ID: 8729369814 Enrollment ID: I20170110002586 |
| Provider Name | Tope A Adeyomola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285186965 PECOS PAC ID: 8325329006 Enrollment ID: I20170112000082 |
| Provider Name | Nikaiya G Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225570328 PECOS PAC ID: 5395020986 Enrollment ID: I20170322000970 |
| Provider Name | Ana R Castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497289425 PECOS PAC ID: 3971870809 Enrollment ID: I20170525000841 |
| Provider Name | Latarsha C Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548619034 PECOS PAC ID: 0648559161 Enrollment ID: I20170607001307 |
| Provider Name | Mili M Khandheria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295094043 PECOS PAC ID: 4688947302 Enrollment ID: I20170831001718 |
| Provider Name | Brian Houst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952610602 PECOS PAC ID: 0446548432 Enrollment ID: I20170907002422 |
| Provider Name | Janet Boston Swain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346691227 PECOS PAC ID: 7113212135 Enrollment ID: I20170913000552 |
| Provider Name | Melody Ann Houston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689187031 PECOS PAC ID: 5991062440 Enrollment ID: I20171208000543 |
| Provider Name | Hanna Araya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538671912 PECOS PAC ID: 6305002734 Enrollment ID: I20180103000287 |
| Provider Name | Catherine Banci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831548338 PECOS PAC ID: 8224383047 Enrollment ID: I20180620000185 |
| Provider Name | Andrew Nathan Langford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023521069 PECOS PAC ID: 5395093330 Enrollment ID: I20180807002813 |
| Provider Name | Ogomegbunam C Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134654528 PECOS PAC ID: 6709138043 Enrollment ID: I20181015001205 |
| Provider Name | Cordelia M Odunayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306325790 PECOS PAC ID: 7719239854 Enrollment ID: I20181017003058 |
| Provider Name | Danielle Elana Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518447911 PECOS PAC ID: 8426395948 Enrollment ID: I20190122003088 |
| Provider Name | Isaac Olufemi Ogunseyitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872816 PECOS PAC ID: 8022355940 Enrollment ID: I20190130001829 |
| Provider Name | Enoch Adomako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205306578 PECOS PAC ID: 1153660808 Enrollment ID: I20190225002651 |
| Provider Name | Gordon Niel Climer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447621776 PECOS PAC ID: 7911247457 Enrollment ID: I20190320002758 |
| Provider Name | Kelly A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
| Provider Name | Ashley Lynn Funk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770923773 PECOS PAC ID: 1153755590 Enrollment ID: I20191218001502 |
| Provider Name | Yolanda Montiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945362 PECOS PAC ID: 7719312313 Enrollment ID: I20200108001018 |
| Provider Name | Mallory Antoinette Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124406475 PECOS PAC ID: 1456786193 Enrollment ID: I20200127001489 |
| Provider Name | Jessica Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174161491 PECOS PAC ID: 0446686604 Enrollment ID: I20200206000557 |
| Provider Name | Elizabath Remy George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972067379 PECOS PAC ID: 9830526078 Enrollment ID: I20200227001297 |
| Provider Name | Nonye Frances Nwokoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544000 PECOS PAC ID: 0749618734 Enrollment ID: I20200325003638 |
| Provider Name | Katrina Coulter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184255325 PECOS PAC ID: 2668801481 Enrollment ID: I20200330003714 |
| Provider Name | Thomas Walker Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891158036 PECOS PAC ID: 2860770526 Enrollment ID: I20200501001375 |
| Provider Name | Scott J Tlanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
| Provider Name | Triet Minh La |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821523366 PECOS PAC ID: 8527486638 Enrollment ID: I20200922000029 |
| Provider Name | Erin Amanda Mcmurtrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437638780 PECOS PAC ID: 7113347345 Enrollment ID: I20201008003147 |
| Provider Name | Jaclyn Hinkle Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265040448 PECOS PAC ID: 8426468083 Enrollment ID: I20201110002205 |
| Provider Name | Gladys Chinwendu Anukam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811519457 PECOS PAC ID: 0446665939 Enrollment ID: I20210216000069 |
| Provider Name | Chinwe Francisca Ugochukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902494149 PECOS PAC ID: 0941615389 Enrollment ID: I20210217003130 |
| Provider Name | Funmilayo Akintunde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437797842 PECOS PAC ID: 6507272028 Enrollment ID: I20210309000445 |
| Provider Name | Tamekia Denise Scaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912476268 PECOS PAC ID: 4789090069 Enrollment ID: I20210311000744 |
| Provider Name | Fatima Mustafic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881152007 PECOS PAC ID: 6800204835 Enrollment ID: I20210412002773 |
| Provider Name | Denise E Keene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457830770 PECOS PAC ID: 2860890514 Enrollment ID: I20211011000239 |
| Provider Name | Mikkia Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114691623 PECOS PAC ID: 2567853898 Enrollment ID: I20211221002982 |
| Provider Name | Erica Pargmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063172971 PECOS PAC ID: 9436542495 Enrollment ID: I20220215002322 |
| Provider Name | Elizabeth M Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740760503 PECOS PAC ID: 1355720442 Enrollment ID: I20220621000592 |
| Provider Name | Misha Simone Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952057614 PECOS PAC ID: 1456730340 Enrollment ID: I20220623001715 |
| Provider Name | Whitney Renae Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114653987 PECOS PAC ID: 7911376488 Enrollment ID: I20221206002234 |
| Provider Name | Samantha Leanne Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770239733 PECOS PAC ID: 9335514827 Enrollment ID: I20230414002117 |
| Provider Name | Adekunbi Imalenowa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073144937 PECOS PAC ID: 1456726827 Enrollment ID: I20230417002886 |
| Provider Name | Elizabeth Amelia Huss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316651789 PECOS PAC ID: 7012370885 Enrollment ID: I20230825002815 |
| Provider Name | Tameka Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699473280 PECOS PAC ID: 6800240441 Enrollment ID: I20230929002212 |
| Provider Name | Caitlin S Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780317511 PECOS PAC ID: 0547615833 Enrollment ID: I20231010001968 |
| Provider Name | Sharon Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760166847 PECOS PAC ID: 7113372244 Enrollment ID: I20231010002780 |
| Provider Name | Anastasia Kiimu Kimanthi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801523485 PECOS PAC ID: 4082061569 Enrollment ID: I20231104000340 |
| Provider Name | Sarah Marie Ireton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881377794 PECOS PAC ID: 2365899671 Enrollment ID: I20231108001480 |
| Provider Name | Wesley Young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205308939 PECOS PAC ID: 7618325556 Enrollment ID: I20231202000343 |
| Provider Name | Angela Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427705771 PECOS PAC ID: 9436508694 Enrollment ID: I20231213001251 |
| Provider Name | Erika Alesandra Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124599279 PECOS PAC ID: 7416307178 Enrollment ID: I20231221002351 |
| Provider Name | William Arthur May |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376090852 PECOS PAC ID: 0143670588 Enrollment ID: I20231227000697 |
| Provider Name | Sidney Elise Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740996933 PECOS PAC ID: 1153773171 Enrollment ID: I20240116001027 |
| Provider Name | Gina Lenis Luera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841626215 PECOS PAC ID: 5496199804 Enrollment ID: I20240213004446 |
| Provider Name | Courtney P Leazer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316575475 PECOS PAC ID: 5991140824 Enrollment ID: I20240229003647 |
| Provider Name | Erin Elizabeth Tate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760959035 PECOS PAC ID: 1557708930 Enrollment ID: I20240320003554 |
| Provider Name | Michael Bohannan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124323720 PECOS PAC ID: 3375980600 Enrollment ID: I20240322001265 |
| Provider Name | Karen Evette Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659990372 PECOS PAC ID: 6800234519 Enrollment ID: I20240401001263 |
| Provider Name | Randall Storey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275041360 PECOS PAC ID: 1951749423 Enrollment ID: I20240403000204 |
| Provider Name | Victoria T Fontenot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194487983 PECOS PAC ID: 6406294891 Enrollment ID: I20240404000970 |
| Provider Name | John Erik Ege |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669855003 PECOS PAC ID: 4587002555 Enrollment ID: I20240410000383 |
| Provider Name | Sheena Latrice Walter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861974057 PECOS PAC ID: 1052750890 Enrollment ID: I20240412003552 |
| Provider Name | Scott Andrew Watters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154107019 PECOS PAC ID: 3678912375 Enrollment ID: I20240415001212 |
| Provider Name | Olivia Elizabeth Van Ness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952940389 PECOS PAC ID: 3678912045 Enrollment ID: I20240418000041 |
| Provider Name | Laura Kathleen Garrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396306734 PECOS PAC ID: 2062851355 Enrollment ID: I20240419000672 |
| Provider Name | Terri Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922446012 PECOS PAC ID: 0042659351 Enrollment ID: I20240419001083 |
| Provider Name | Alice Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043793136 PECOS PAC ID: 8022459718 Enrollment ID: I20240513001382 |
Lighthouse Psychological Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9500 Ray White Rd Ste 200, Fort Worth, TX 76244 Phone: 817-760-0349 | |
Jakin Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Old Stone Dr, Fort Worth, TX 76137 Phone: 330-819-1731 | |
All Church Home For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3712 Wichita St, Fort Worth, TX 76119 Phone: 817-335-4041 Fax: 217-887-2735 | |
Enhanced Living Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3301 Hamilton Ave, Suite 104, Fort Worth, TX 76107 Phone: 817-992-0410 | |
Royal Psychological Service Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Leuda St, Fort Worth, TX 76104 Phone: 845-738-8770 | |
Balance Behavior Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9013 Horse Herd Dr, Fort Worth, TX 76123 Phone: 714-366-9444 | |
Intrinsic Counseling And Treatment Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16516 Porterfield Lane, Fort Worth, TX 76247 Phone: 682-231-1132 |