| Senior Psychological Care Dallas I, Llc | |
|
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
| (713) 850-0049 | |
| (713) 627-7302 |
| Full Name | Senior Psychological Care Dallas I, Llc |
|---|---|
| Speciality | Psychologist |
| 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 Psychological Care Dallas I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychological Care Dallas I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
| NPI Number | 1649566795 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 3375717044 |
|---|---|
| Medicare Enrollment ID | O20111114000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649566795 | NPI | - | NPPES |
| 0012XB | Other | TX | BCBS TX |
| 287992603 | Medicaid | TX | |
| 287992601 | Medicaid | TX | |
| 287992602 | Medicaid | TX | |
| DS2658 | Other | TX | RR MCR HARRIS |
| Provider Name | Jalynn Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235244641 PECOS PAC ID: 5092798793 Enrollment ID: I20040612000639 |
| Provider Name | Julie M Sheppard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710905591 PECOS PAC ID: 6608848627 Enrollment ID: I20040810001240 |
| Provider Name | David R Egerton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013949197 PECOS PAC ID: 1951469279 Enrollment ID: I20081106000563 |
| Provider Name | Frank Araiza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588605844 PECOS PAC ID: 2860559077 Enrollment ID: I20090316000044 |
| Provider Name | Irma S Beltran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609042340 PECOS PAC ID: 2365582905 Enrollment ID: I20091212000107 |
| Provider Name | Allison A Krauth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285962571 PECOS PAC ID: 8123162609 Enrollment ID: I20100222000552 |
| Provider Name | Tascha Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528145364 PECOS PAC ID: 0244418200 Enrollment ID: I20110622000735 |
| Provider Name | Jennifer Mountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275845752 PECOS PAC ID: 2567623473 Enrollment ID: I20120419000349 |
| Provider Name | Wesley Martin Ragle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184779662 PECOS PAC ID: 5092970905 Enrollment ID: I20120627000249 |
| Provider Name | Faye A. Reimers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508203126 PECOS PAC ID: 3375787070 Enrollment ID: I20130919000390 |
| Provider Name | Desiree W Kilcrease Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043211774 PECOS PAC ID: 2466492244 Enrollment ID: I20131231001105 |
| Provider Name | Andrea M Marjason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104281518 PECOS PAC ID: 6709170038 Enrollment ID: I20160810000626 |
| Provider Name | Stephanie Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962851576 PECOS PAC ID: 6103111588 Enrollment ID: I20160824001393 |
| Provider Name | Jennifer Elizabeth Rawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417255423 PECOS PAC ID: 3971899592 Enrollment ID: I20160908001192 |
| Provider Name | Kristina I Haning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952840431 PECOS PAC ID: 3274818117 Enrollment ID: I20170316000757 |
| Provider Name | Tricia Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447561394 PECOS PAC ID: 3577840404 Enrollment ID: I20170503000008 |
| Provider Name | Nancy Fay Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801291703 PECOS PAC ID: 3274804703 Enrollment ID: I20170802001313 |
| Provider Name | Kimberly M Fenner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891213906 PECOS PAC ID: 5294091310 Enrollment ID: I20171106002807 |
| Provider Name | Francheska Nichole Darby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992213086 PECOS PAC ID: 3971863051 Enrollment ID: I20180209001902 |
| Provider Name | Amy N Leverton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205334984 PECOS PAC ID: 9830454537 Enrollment ID: I20180530001828 |
| Provider Name | Nastassia Shanae Toomer Greer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720597461 PECOS PAC ID: 8820344252 Enrollment ID: I20180627001979 |
| Provider Name | Randal Sean Voss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518362110 PECOS PAC ID: 9234485160 Enrollment ID: I20180709001139 |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174935852 PECOS PAC ID: 0941540256 Enrollment ID: I20190325001112 |
| Provider Name | Alisha Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952860124 PECOS PAC ID: 0446591812 Enrollment ID: I20190411002292 |
| Provider Name | Ashly Nicole Huffstatler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710448154 PECOS PAC ID: 4880935006 Enrollment ID: I20190416000893 |
| Provider Name | Loyce Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366713877 PECOS PAC ID: 5799027041 Enrollment ID: I20190507001075 |
| Provider Name | Jeanette Holland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275194565 PECOS PAC ID: 3971839119 Enrollment ID: I20190725003557 |
| Provider Name | Ariana Danielle Mczeal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811558711 PECOS PAC ID: 0749510139 Enrollment ID: I20190927001180 |
| Provider Name | Shannon Kohlenberg Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609414200 PECOS PAC ID: 8527494038 Enrollment ID: I20200131001549 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548891047 PECOS PAC ID: 3072934827 Enrollment ID: I20200602002583 |
| Provider Name | Michelle Teveni Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235726050 PECOS PAC ID: 9638582810 Enrollment ID: I20210107000666 |
| Provider Name | Austin Micaiah Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538616982 PECOS PAC ID: 1052728748 Enrollment ID: I20210324002953 |
| Provider Name | Karen Dianne Todd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154649838 PECOS PAC ID: 8527476001 Enrollment ID: I20210422000123 |
| Provider Name | Devin Ray Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982194478 PECOS PAC ID: 6204237555 Enrollment ID: I20210624002043 |
| Provider Name | Shaunquette V Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669146940 PECOS PAC ID: 5799189130 Enrollment ID: I20210809000255 |
| Provider Name | Wendy Michelle Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558900985 PECOS PAC ID: 2365848074 Enrollment ID: I20210903002044 |
| Provider Name | Michelle Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527163 PECOS PAC ID: 3779989306 Enrollment ID: I20210908000906 |
| Provider Name | Mindy M Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356980890 PECOS PAC ID: 8921499864 Enrollment ID: I20220103001121 |
| Provider Name | Brianna Snow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063023067 PECOS PAC ID: 3678965316 Enrollment ID: I20220110000905 |
| Provider Name | Temika Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245455294 PECOS PAC ID: 6709102551 Enrollment ID: I20220303000143 |
| Provider Name | Tina E Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275286494 PECOS PAC ID: 4587059282 Enrollment ID: I20220316000867 |
| Provider Name | Patricia S Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700465739 PECOS PAC ID: 7416342076 Enrollment ID: I20220317000108 |
| Provider Name | Jaclyn Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942945746 PECOS PAC ID: 1658758206 Enrollment ID: I20220519002025 |
| Provider Name | William Carl Weathersby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710249115 PECOS PAC ID: 7719364223 Enrollment ID: I20220520001909 |
| Provider Name | Jennifer Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295339216 PECOS PAC ID: 9739566258 Enrollment ID: I20220521000178 |
| Provider Name | Joseph Lee Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558016857 PECOS PAC ID: 4981082682 Enrollment ID: I20220609000224 |
| Provider Name | Shandreka Shanae Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376284034 PECOS PAC ID: 1557738366 Enrollment ID: I20221108002786 |
| Provider Name | Cammie Richard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265140750 PECOS PAC ID: 3274902481 Enrollment ID: I20221210000265 |
| Provider Name | Amanda Jane Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841623907 PECOS PAC ID: 6901277870 Enrollment ID: I20230201001374 |
| Provider Name | Chavonn Marsha Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972977189 PECOS PAC ID: 0244602696 Enrollment ID: I20230210001345 |
| Provider Name | Rassan Abdull Follis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063128189 PECOS PAC ID: 4183098452 Enrollment ID: I20230328002353 |
| Provider Name | Meredith Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194104430 PECOS PAC ID: 0840655270 Enrollment ID: I20230508001537 |
| Provider Name | Rashonda D Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548879117 PECOS PAC ID: 3476910191 Enrollment ID: I20230612000227 |
| Provider Name | Lakesha Lewis Haven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730872318 PECOS PAC ID: 8022476217 Enrollment ID: I20230620003159 |
| Provider Name | Crystal Crabb-mcmikel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477858595 PECOS PAC ID: 9133487226 Enrollment ID: I20230721001820 |
| Provider Name | Melinda Kay Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861784787 PECOS PAC ID: 3870953847 Enrollment ID: I20230721003063 |
| Provider Name | Tia Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992398978 PECOS PAC ID: 7012378896 Enrollment ID: I20230726001027 |
| Provider Name | Neva Deschner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740964782 PECOS PAC ID: 7517328198 Enrollment ID: I20230728002201 |
| Provider Name | Erica N Bingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639812142 PECOS PAC ID: 7012378607 Enrollment ID: I20230728002481 |
| Provider Name | Regina Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801533492 PECOS PAC ID: 2365804754 Enrollment ID: I20230817000039 |
| Provider Name | Dee A Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881990158 PECOS PAC ID: 6800240730 Enrollment ID: I20230927000836 |
| Provider Name | Monica Terpening |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376234658 PECOS PAC ID: 5193179760 Enrollment ID: I20230930000186 |
| Provider Name | Venieca G Kusek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124806336 PECOS PAC ID: 8820443237 Enrollment ID: I20231004002537 |
| Provider Name | Rallayne Deniece Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942922885 PECOS PAC ID: 1759736879 Enrollment ID: I20231010002266 |
| Provider Name | Janice Halstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265542831 PECOS PAC ID: 4082935796 Enrollment ID: I20231011001778 |
| Provider Name | Jennifer D Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922873926 PECOS PAC ID: 5294184412 Enrollment ID: I20231213003788 |
| Provider Name | Patricia J Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831608280 PECOS PAC ID: 8729430384 Enrollment ID: I20240118003628 |
| Provider Name | Morgan Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114788908 PECOS PAC ID: 3971948860 Enrollment ID: I20240301001393 |
| Provider Name | Deborah Sue Marlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861582538 PECOS PAC ID: 1759728421 Enrollment ID: I20240318003075 |
| Provider Name | Laura Christine Faiai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497528269 PECOS PAC ID: 9931546843 Enrollment ID: I20240327000129 |
| Provider Name | Jeffrey Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639698350 PECOS PAC ID: 3375980287 Enrollment ID: I20240327000185 |
| Provider Name | Lori L Downs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063939502 PECOS PAC ID: 9032558556 Enrollment ID: I20240417001345 |
| Provider Name | William Carruthers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699527358 PECOS PAC ID: 7416396452 Enrollment ID: I20240423003513 |
| Provider Name | Kaci Shepherd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104062447 PECOS PAC ID: 0648610287 Enrollment ID: I20240430003700 |
| Provider Name | Angela Dawn Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245576206 PECOS PAC ID: 3274974266 Enrollment ID: I20240508000976 |
| Provider Name | Erica Lynn Lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699476812 PECOS PAC ID: 6406297027 Enrollment ID: I20240514003207 |
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 |