| Senior Psychological Care I, Llc | |
|
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
| (713) 850-0049 | |
| (713) 627-7302 |
| Full Name | Senior Psychological Care 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 I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychological Care I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
| NPI Number | 1245526490 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 1557535226 |
|---|---|
| Medicare Enrollment ID | O20111114000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245526490 | NPI | - | NPPES |
| 288412401 | Medicaid | TX | |
| 317954101 | Medicaid | TX | |
| 314835501 | Medicaid | TX | |
| 318238801 | Medicaid | TX | |
| 316711601 | Medicaid | TX | |
| DS2752 | Other | TX | RR MCR HARRIS |
| 0099WY | Other | TX | BCBS TX |
| Provider Name | Joseph Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134213945 PECOS PAC ID: 0244210946 Enrollment ID: I20040722001311 |
| Provider Name | Toni Topek Harvell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326157314 PECOS PAC ID: 5597701805 Enrollment ID: I20050707000887 |
| Provider Name | Myia L Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316068950 PECOS PAC ID: 9335246446 Enrollment ID: I20070524000641 |
| Provider Name | Eirene M. Wong-liang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134251457 PECOS PAC ID: 1456425974 Enrollment ID: I20081208000210 |
| Provider Name | Leslie L Crossman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235241332 PECOS PAC ID: 5395897078 Enrollment ID: I20090709000614 |
| Provider Name | Irma S Beltran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609042340 PECOS PAC ID: 2365582905 Enrollment ID: I20091212000107 |
| Provider Name | Sharon Cashion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558478354 PECOS PAC ID: 0648464016 Enrollment ID: I20101029000479 |
| Provider Name | Dawn L Baskin-turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164549671 PECOS PAC ID: 3577741099 Enrollment ID: I20110701000047 |
| Provider Name | Susan B Parkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265864714 PECOS PAC ID: 1951536663 Enrollment ID: I20151014000118 |
| Provider Name | Jennifer Elizabeth Rawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417255423 PECOS PAC ID: 3971899592 Enrollment ID: I20160908001192 |
| Provider Name | Diane C Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770993024 PECOS PAC ID: 4082643689 Enrollment ID: I20160920002567 |
| Provider Name | Needhi Bhaga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174981542 PECOS PAC ID: 9234419953 Enrollment ID: I20161214001820 |
| Provider Name | Kevin Mark Correia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194718650 PECOS PAC ID: 7012265960 Enrollment ID: I20180808003227 |
| Provider Name | Adia Nishati Naba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093038622 PECOS PAC ID: 8123159712 Enrollment ID: I20180822001331 |
| Provider Name | Bridgit A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801037445 PECOS PAC ID: 0042496556 Enrollment ID: I20190411000345 |
| Provider Name | Chamara Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033463229 PECOS PAC ID: 7416285192 Enrollment ID: I20190819002796 |
| Provider Name | Warren Lee Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245574821 PECOS PAC ID: 9638321227 Enrollment ID: I20210611001856 |
| Provider Name | Kimberly Moton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699165928 PECOS PAC ID: 7618226200 Enrollment ID: I20210821000150 |
| Provider Name | Teshia Eppinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740831411 PECOS PAC ID: 7810387883 Enrollment ID: I20211206001968 |
| Provider Name | Maritza Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093063638 PECOS PAC ID: 3779977608 Enrollment ID: I20220218001139 |
| Provider Name | Julie Steiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831596436 PECOS PAC ID: 3678841624 Enrollment ID: I20220427002491 |
| Provider Name | Dana Liberty Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770237455 PECOS PAC ID: 1557739869 Enrollment ID: I20221117001264 |
| Provider Name | Molly Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679293484 PECOS PAC ID: 1052780277 Enrollment ID: I20221210000490 |
| Provider Name | Diane R Wilhite |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992942569 PECOS PAC ID: 5193199834 Enrollment ID: I20230321002049 |
| Provider Name | Beth Alison Peck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598252884 PECOS PAC ID: 0345614996 Enrollment ID: I20230321002648 |
| Provider Name | Kervil Chad Durand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891395067 PECOS PAC ID: 3870958762 Enrollment ID: I20230427003070 |
| Provider Name | Sally Krall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538850375 PECOS PAC ID: 0042677619 Enrollment ID: I20230613002331 |
| Provider Name | Tiffany J Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801460407 PECOS PAC ID: 7719333459 Enrollment ID: I20231031003949 |
| Provider Name | James Joseph Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316715600 PECOS PAC ID: 1052758687 Enrollment ID: I20240319001836 |
| Provider Name | Amanda Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285270819 PECOS PAC ID: 6608215637 Enrollment ID: I20240423002998 |
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