| Mypsych Mental Health, Pllc | |
|
8026 Floyd Curl Dr San Antonio TX 78229 | |
| (210) 990-1142 | |
| Not Available |
| Full Name | Mypsych Mental Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8026 Floyd Curl Dr, San Antonio, Texas |
| Authorized Official Name and Position | Mikael James Jacobson (MEDICAL DOCTOR) |
| Authorized Official Contact | 2103635471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mypsych Mental Health, Pllc 8407 Bandera Road Ste 103 Box 103448 San Antonio TX 78250 Ph: (210) 990-1142 | Mypsych Mental Health, Pllc 8026 Floyd Curl Dr San Antonio TX 78229 Ph: (210) 990-1142 |
| NPI Number | 1871962191 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 5890078042 |
|---|---|
| Medicare Enrollment ID | O20170213002322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871962191 | NPI | - | NPPES |
| 164124306 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L5386 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rebecca Carreon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811004898 PECOS PAC ID: 1658262449 Enrollment ID: I20040322001381 |
| Provider Name | Raul G Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245315845 PECOS PAC ID: 4981692522 Enrollment ID: I20040503001744 |
| Provider Name | Mikael J Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356364384 PECOS PAC ID: 4385632439 Enrollment ID: I20040505001406 |
| Provider Name | David W Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130873 PECOS PAC ID: 7810033016 Enrollment ID: I20091001000086 |
| Provider Name | Mitarho M Akpoyoware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437382371 PECOS PAC ID: 5991841413 Enrollment ID: I20091013000713 |
| Provider Name | Cesar R Pina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134530462 PECOS PAC ID: 2163646621 Enrollment ID: I20140624001707 |
| Provider Name | Ephraim T Fombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134368327 PECOS PAC ID: 2062793581 Enrollment ID: I20161221000980 |
| Provider Name | Brigette B Tyree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518477645 PECOS PAC ID: 4688932148 Enrollment ID: I20171211002745 |
| Provider Name | Renee Licorish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437618097 PECOS PAC ID: 2961744008 Enrollment ID: I20190422001000 |
| Provider Name | Keyamo M Omokuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295066694 PECOS PAC ID: 1850634338 Enrollment ID: I20190524001124 |
| Provider Name | Adeel Meraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417184714 PECOS PAC ID: 5698904191 Enrollment ID: I20190530001324 |
| Provider Name | Anna M Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114579257 PECOS PAC ID: 8426386244 Enrollment ID: I20190819000060 |
| Provider Name | Yejide Oludare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922657287 PECOS PAC ID: 7113246109 Enrollment ID: I20191119000489 |
| Provider Name | Ciddet Ricardo Abrahams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740742501 PECOS PAC ID: 9133556608 Enrollment ID: I20200221001270 |
| Provider Name | Adam D Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396336145 PECOS PAC ID: 8921415936 Enrollment ID: I20210318000899 |
| Provider Name | Brandi Hrasdzira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972195105 PECOS PAC ID: 1254572746 Enrollment ID: I20210611001424 |
| Provider Name | Daniel Glassman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215200605 PECOS PAC ID: 3173813946 Enrollment ID: I20210622000416 |
| Provider Name | Eric C Aniekwena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063166601 PECOS PAC ID: 5193111268 Enrollment ID: I20220330001192 |
| Provider Name | Teresa Lynette Woodson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932858842 PECOS PAC ID: 4486026184 Enrollment ID: I20230206002779 |
| Provider Name | Lorraine E Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649980319 PECOS PAC ID: 9133594104 Enrollment ID: I20230404001945 |
| Provider Name | Roseann Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609561745 PECOS PAC ID: 7012361173 Enrollment ID: I20230925000873 |
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