Senior Psychcare Of Dallas I, Pllc | |
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
(713) 850-0049 | |
(713) 627-7302 |
Full Name | Senior Psychcare Of Dallas I, Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4635 Southwest Fwy Ste 635, Houston, Texas |
Authorized Official Name and Position | Randall J. Frapart (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7138500049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Senior Psychcare Of Dallas I, Pllc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychcare Of Dallas I, Pllc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
NPI Number | 1942596903 |
---|---|
Provider Enumeration Date | 06/28/2011 |
Last Update Date | 12/13/2018 |
Medicare PECOS PAC ID | 2466625371 |
---|---|
Medicare Enrollment ID | O20111109000103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942596903 | NPI | - | NPPES |
288003102 | Medicaid | TX | |
288003103 | Medicaid | TX | |
288003104 | Medicaid | TX | |
DS2656 | Other | TX | RR MCR HARRIS |
0095WY | Other | TX | BCBS TX |
288003101 | Medicaid | TX |
Provider Name | David G Johnson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689609125 PECOS PAC ID: 8820992712 Enrollment ID: I20031121000697 |
Provider Name | Tayfun Karakoc |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265487904 PECOS PAC ID: 3577525963 Enrollment ID: I20041028000437 |
Provider Name | Kendall M Reese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134168933 PECOS PAC ID: 5991700692 Enrollment ID: I20061003000148 |
Provider Name | Sharla J. Carver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528123551 PECOS PAC ID: 9931371978 Enrollment ID: I20111017000411 |
Provider Name | Charlotte Isah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366883035 PECOS PAC ID: 2466686860 Enrollment ID: I20131017000753 |
Provider Name | Michelle Escobedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588973721 PECOS PAC ID: 8224278833 Enrollment ID: I20140205001250 |
Provider Name | Mary A Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457759235 PECOS PAC ID: 1254654205 Enrollment ID: I20141223000572 |
Provider Name | Lindsey Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730559097 PECOS PAC ID: 1153631486 Enrollment ID: I20151117000571 |
Provider Name | Peter Nyanegweso Moenga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518325380 PECOS PAC ID: 3173828282 Enrollment ID: I20160229000818 |
Provider Name | Cheryl L Lucas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952774549 PECOS PAC ID: 4587960158 Enrollment ID: I20160308000781 |
Provider Name | Caroline K Mose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720447584 PECOS PAC ID: 8022316645 Enrollment ID: I20160415000607 |
Provider Name | Chima Nathaniel Asikaiwe |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992003669 PECOS PAC ID: 2264722859 Enrollment ID: I20160901001984 |
Provider Name | Julia Fernandez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760617773 PECOS PAC ID: 2567619950 Enrollment ID: I20160920001217 |
Provider Name | Anna L Antu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942574991 PECOS PAC ID: 0244518777 Enrollment ID: I20161103000484 |
Provider Name | Ofear Moore Norris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558813485 PECOS PAC ID: 4082994157 Enrollment ID: I20161207000018 |
Provider Name | Jana R Soto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912331745 PECOS PAC ID: 5890922744 Enrollment ID: I20170222000530 |
Provider Name | Denise York-florez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912446428 PECOS PAC ID: 8628340965 Enrollment ID: I20170821001958 |
Provider Name | Uzma Ahmad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427376250 PECOS PAC ID: 2163746074 Enrollment ID: I20170906002756 |
Provider Name | Victoria Forsberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20180418000794 |
Provider Name | Marlon D Womack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932607066 PECOS PAC ID: 9032473939 Enrollment ID: I20180501000293 |
Provider Name | Cordelia M Odunayo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306325790 PECOS PAC ID: 7719239854 Enrollment ID: I20181017003058 |
Provider Name | Kyle Deirdre Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275009292 PECOS PAC ID: 4880938042 Enrollment ID: I20181129001538 |
Provider Name | Karen Bowery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881164788 PECOS PAC ID: 1153667829 Enrollment ID: I20190117000599 |
Provider Name | Vinod Alluri |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548279870 PECOS PAC ID: 1254336357 Enrollment ID: I20190122001784 |
Provider Name | Matthew D Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154894806 PECOS PAC ID: 4183963804 Enrollment ID: I20190225001342 |
Provider Name | Wendy Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154885630 PECOS PAC ID: 5698014132 Enrollment ID: I20190228001192 |
Provider Name | Theresa Lynne Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679130546 PECOS PAC ID: 7618207812 Enrollment ID: I20191002000587 |
Provider Name | Kimberly Modena Tatum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518479542 PECOS PAC ID: 2769562487 Enrollment ID: I20200211000125 |
Provider Name | Kristin Rosenbaum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154989275 PECOS PAC ID: 4486081817 Enrollment ID: I20200225002026 |
Provider Name | Peter Formusoh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114559325 PECOS PAC ID: 3476463829 Enrollment ID: I20200226001840 |
Provider Name | Stephanie Stockton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104458108 PECOS PAC ID: 2163859463 Enrollment ID: I20200226002306 |
Provider Name | Julie Tapiwa Thomison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275092959 PECOS PAC ID: 0345678884 Enrollment ID: I20200317001395 |
Provider Name | Adebukola Aderemi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942842612 PECOS PAC ID: 1355760547 Enrollment ID: I20201008001041 |
Provider Name | Chad E Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922600444 PECOS PAC ID: 2961813183 Enrollment ID: I20201119001369 |
Provider Name | Egodi Agatha Onuoha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316550239 PECOS PAC ID: 4587079199 Enrollment ID: I20210212000284 |
Provider Name | Hector Medellin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497355929 PECOS PAC ID: 3870908403 Enrollment ID: I20210212001179 |
Provider Name | Brenda Kimathi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538741426 PECOS PAC ID: 8527468800 Enrollment ID: I20210608000838 |
Provider Name | William Alex Nicodemus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427565068 PECOS PAC ID: 4880095645 Enrollment ID: I20210630002409 |
Provider Name | Brooke Nichole Montes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215602412 PECOS PAC ID: 1951708692 Enrollment ID: I20210923001394 |
Provider Name | Joanne Melba Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831724921 PECOS PAC ID: 2668860420 Enrollment ID: I20211027001939 |
Provider Name | Cecilia Chanda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154904183 PECOS PAC ID: 7719375237 Enrollment ID: I20211102001015 |
Provider Name | Jesika Vershawn Sweet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245808484 PECOS PAC ID: 3274922760 Enrollment ID: I20211123001861 |
Provider Name | Diana L Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164193868 PECOS PAC ID: 7012395379 Enrollment ID: I20220528000006 |
Provider Name | Belinda Caldwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942937701 PECOS PAC ID: 2668855958 Enrollment ID: I20220819000025 |
Provider Name | Donna Jeannette Mccauley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083229629 PECOS PAC ID: 8325424484 Enrollment ID: I20220928000213 |
Provider Name | Damian Hooker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972210870 PECOS PAC ID: 0446628796 Enrollment ID: I20221117003375 |
Provider Name | Mary P Nkwain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669109666 PECOS PAC ID: 1456720507 Enrollment ID: I20221212001316 |
Provider Name | Jacqueline Mojica |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134837792 PECOS PAC ID: 9638548704 Enrollment ID: I20221212002203 |
Provider Name | Ieshia Kimble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124774500 PECOS PAC ID: 3173995719 Enrollment ID: I20230208002596 |
Provider Name | Walter Akwo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003119116 PECOS PAC ID: 5193118370 Enrollment ID: I20230208003071 |
Provider Name | Amanda Renee Mcdaniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982273843 PECOS PAC ID: 8820461544 Enrollment ID: I20230228002321 |
Provider Name | Mary Katherine Richey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144928318 PECOS PAC ID: 2961877899 Enrollment ID: I20230406002570 |
Provider Name | Mechelle Spikes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013621994 PECOS PAC ID: 9931571643 Enrollment ID: I20230718003408 |
Provider Name | Tavanna Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295467504 PECOS PAC ID: 7719340694 Enrollment ID: I20230824002630 |
Provider Name | Amir Ali Homayounkhah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518739754 PECOS PAC ID: 8123463528 Enrollment ID: I20240226000819 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |