| Mhmra Of Brazos Valley | |
|
804 S Texas Ave Bryan TX 77803-3946 | |
| (979) 822-6467 | |
| (979) 821-9448 |
| Full Name | Mhmra Of Brazos Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 804 S Texas Ave, Bryan, Texas |
| Authorized Official Name and Position | Bill Kelly (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9798226467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhmra Of Brazos Valley 1504 Texas Ave. Bryan TX 77805-1504 Ph: (979) 822-6467 | Mhmra Of Brazos Valley 804 S Texas Ave Bryan TX 77803-3946 Ph: (979) 822-6467 |
| NPI Number | 1881621225 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Medicare PECOS PAC ID | 8123008505 |
|---|---|
| Medicare Enrollment ID | O20040726000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881621225 | NPI | - | NPPES |
| 136366501 | Medicaid | TX | |
| 136366506 | Medicaid | TX | |
| 136366505 | Medicaid | TX | |
| 136366507 | Medicaid | TX | |
| 136366502 | Medicaid | TX | |
| 136366504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Texas) | Primary |
| Provider Name | Mehboob A Nazarani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235148826 PECOS PAC ID: 3476458126 Enrollment ID: I20031204001078 |
| Provider Name | Joshua V Cabrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235254483 PECOS PAC ID: 9830143619 Enrollment ID: I20050826000858 |
| Provider Name | Darlene W Mclaughlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972630507 PECOS PAC ID: 8527136027 Enrollment ID: I20081010000540 |
| Provider Name | David M Dranetz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225088321 PECOS PAC ID: 4082665534 Enrollment ID: I20100202000612 |
| Provider Name | Lynn M Malseed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386758092 PECOS PAC ID: 5698947158 Enrollment ID: I20111006000172 |
| Provider Name | Michele Jean Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902992472 PECOS PAC ID: 6305912304 Enrollment ID: I20160317000367 |
| Provider Name | Bradley Bogdan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487907366 PECOS PAC ID: 8426341983 Enrollment ID: I20160721001933 |
| Provider Name | Cynthia Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891221347 PECOS PAC ID: 9234496092 Enrollment ID: I20171204000133 |
| Provider Name | Consuela D Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497802516 PECOS PAC ID: 8426307372 Enrollment ID: I20180827000161 |
| Provider Name | Edward J Kazmir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336641208 PECOS PAC ID: 7719223924 Enrollment ID: I20190109001231 |
Jennifer L. Rockett, Ph.d. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2402 Broadmoor Dr, Building Dii Suite 111, Bryan, TX 77802 Phone: 979-450-5320 Fax: 979-713-1245 | |
Pure Mind Works, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1608 W 17th St, Bryan, TX 77803 Phone: 979-739-4269 | |
Cra Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sandia Plz, Bryan, TX 77802 Phone: 903-388-6781 | |
Empower Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3841 Sagebriar Dr, Bryan, TX 77802 Phone: 979-985-9503 | |
Brazos Valley Psychological Services Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 704b E 29th St, Bryan, TX 77803 Phone: 979-574-8801 Fax: 979-775-9079 | |
Comprehensive Healthcare Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E, Suite 415, Bryan, TX 77802 Phone: 979-776-0289 Fax: 979-774-9770 | |
Lamb Behavioral Health Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1737 Briarcrest Dr Ste 24, Bryan, TX 77802 Phone: 979-436-1956 Fax: 979-846-8070 |