| Nexumhc Tx Llc | |
|
5900 Balcones Dr Ste 100 Austin TX 78731-4298 | |
| (773) 887-6150 | |
| Not Available |
| Full Name | Nexumhc Tx Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
| Authorized Official Name and Position | Aron Moore (CEO) |
| Authorized Official Contact | 7738876150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexumhc Tx Llc 6134 N Bernard St Chicago IL 60659-2212 Ph: (773) 887-6150 | Nexumhc Tx Llc 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: (773) 887-6150 |
| NPI Number | 1619746880 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 5890132252 |
|---|---|
| Medicare Enrollment ID | O20240320002748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619746880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ashley Danielle Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356620470 PECOS PAC ID: 2365843034 Enrollment ID: I20210701002175 |
| Provider Name | Natasha Chung |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366411761 PECOS PAC ID: 6002279148 Enrollment ID: I20240320002942 |
| Provider Name | Aryeh L Minkin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700324290 PECOS PAC ID: 8123466588 Enrollment ID: I20240403004093 |
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