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11500 State Highway 121 Ste 930 Frisco TX 75035-9347 | |
| (469) 200-4093 | |
| (469) 200-4079 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11500 State Highway 121 Ste 930, Frisco, Texas |
| Authorized Official Name and Position | Nazimuddin Mohammed (CEO) |
| Authorized Official Contact | 2177503053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11500 State Highway 121 Ste 930 Frisco TX 75035-9347 Ph: (469) 200-4093 | 11500 State Highway 121 Ste 930 Frisco TX 75035-9347 Ph: (469) 200-4093 |
| NPI Number | 1710495569 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 4284995051 |
|---|---|
| Medicare Enrollment ID | O20180220000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710495569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Irene Okoronkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174879332 PECOS PAC ID: 8224287925 Enrollment ID: I20121011000911 |
| Provider Name | Robert J Harden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942225289 PECOS PAC ID: 0840398483 Enrollment ID: I20131107000321 |
| Provider Name | Elias A Alharari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588104541 PECOS PAC ID: 5799058582 Enrollment ID: I20170829004376 |
| Provider Name | Vivian Sona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358377 PECOS PAC ID: 6204100175 Enrollment ID: I20170918000228 |
| Provider Name | Celina Egemasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300740 PECOS PAC ID: 2466718937 Enrollment ID: I20180109001455 |
| Provider Name | Nazimuddin T Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316974249 PECOS PAC ID: 4284684663 Enrollment ID: I20180220001277 |
| Provider Name | Lloyd Ray Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972138170 PECOS PAC ID: 6002239829 Enrollment ID: I20200713000010 |
| Provider Name | Sherita M Bardley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487819264 PECOS PAC ID: 1456490689 Enrollment ID: I20201027000030 |
| Provider Name | Michelle Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527163 PECOS PAC ID: 3779989306 Enrollment ID: I20210908000906 |
| Provider Name | Karen L Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730723933 PECOS PAC ID: 1759761141 Enrollment ID: I20220701000414 |
| Provider Name | Rahel G Ghide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194215889 PECOS PAC ID: 7911388640 Enrollment ID: I20220713000469 |
| Provider Name | Natalia Manevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275601106 PECOS PAC ID: 2769437664 Enrollment ID: I20220713000654 |
| Provider Name | Jamie L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952962664 PECOS PAC ID: 1850777277 Enrollment ID: I20221007000851 |
| Provider Name | Ahmad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487747424 PECOS PAC ID: 0446291405 Enrollment ID: I20221207001349 |
| Provider Name | Krishnakumar Parameswran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851050850 PECOS PAC ID: 6709270622 Enrollment ID: I20221213000475 |
| Provider Name | Aaron James Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922706621 PECOS PAC ID: 9032583893 Enrollment ID: I20230316002612 |
| Provider Name | Iqra Sheikh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093072167 PECOS PAC ID: 4688039308 Enrollment ID: I20230503000670 |
| Provider Name | Megan Elizabeth Kelsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881374023 PECOS PAC ID: 1658733258 Enrollment ID: I20230814003570 |
| Provider Name | Sarah Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538840897 PECOS PAC ID: 2466814975 Enrollment ID: I20230816000530 |
| Provider Name | Ericka Lebron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992493639 PECOS PAC ID: 0840654067 Enrollment ID: I20230906003773 |
| Provider Name | Mary Margaret Mcashan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538436886 PECOS PAC ID: 8325402480 Enrollment ID: I20230908000591 |
| Provider Name | Dorothy Ndondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326742487 PECOS PAC ID: 6305290685 Enrollment ID: I20230921000784 |
| Provider Name | Ali Rahman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891381869 PECOS PAC ID: 3476966656 Enrollment ID: I20231130000204 |
| Provider Name | Dora Boyne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174293377 PECOS PAC ID: 1759789803 Enrollment ID: I20231201002030 |
| Provider Name | Senetria Shay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730640996 PECOS PAC ID: 9830506674 Enrollment ID: I20231206001013 |
| Provider Name | Jiacheng Liu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801409446 PECOS PAC ID: 7315365137 Enrollment ID: I20231206004210 |
| Provider Name | Keisha M Gill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568812030 PECOS PAC ID: 3678922317 Enrollment ID: I20231207000188 |
| Provider Name | Muta Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043991409 PECOS PAC ID: 7517316045 Enrollment ID: I20231210000026 |
| Provider Name | Alexis Duggan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790462570 PECOS PAC ID: 9436502077 Enrollment ID: I20240130002457 |
| Provider Name | Natalie K Carlton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316560931 PECOS PAC ID: 1355789652 Enrollment ID: I20240405001055 |
| Provider Name | Kelli Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679831127 PECOS PAC ID: 8628419165 Enrollment ID: I20240514004275 |
| Provider Name | Stacy Bortey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619716321 PECOS PAC ID: 8921541806 Enrollment ID: I20240620000195 |
| Provider Name | Marcos Villareal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083876999 PECOS PAC ID: 1052842275 Enrollment ID: I20240930000592 |
| Provider Name | Amber Fluker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285232520 PECOS PAC ID: 8123553435 Enrollment ID: I20241122004115 |
Natural Progression Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2591 Dallas Pkwy Ste 300, Frisco, TX 75034 Phone: 469-902-2120 | |
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F1rst - First Responder Stress & Trauma Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2770 Main St Ste 139, Frisco, TX 75033 Phone: 469-352-7491 | |
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