| Staats Psychiatric Services Pllc | |
|
12151 W Parmer Ln Ste 202 Cedar Park TX 78613-2171 | |
| (512) 593-7070 | |
| Not Available |
| Full Name | Staats Psychiatric Services Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 12151 W Parmer Ln Ste 202, Cedar Park, Texas |
| Authorized Official Name and Position | Annmarie Staats (OWNER) |
| Authorized Official Contact | 5128885918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Staats Psychiatric Services Pllc 12151 W Parmer Ln Ste 202 Cedar Park TX 78613-2171 Ph: (512) 593-7070 | Staats Psychiatric Services Pllc 12151 W Parmer Ln Ste 202 Cedar Park TX 78613-2171 Ph: (512) 593-7070 |
| NPI Number | 1932672649 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 8921346792 |
|---|---|
| Medicare Enrollment ID | O20190221000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932672649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Jody L Tudor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518942358 PECOS PAC ID: 0840248928 Enrollment ID: I20100825000435 |
| Provider Name | Annmarie Staats |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902309412 PECOS PAC ID: 4880940600 Enrollment ID: I20180710001797 |
| Provider Name | Nicole Elizabeth Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063749174 PECOS PAC ID: 1850622457 Enrollment ID: I20191014000264 |
| Provider Name | Lasonda Michelle Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659908887 PECOS PAC ID: 5991135923 Enrollment ID: I20200415001640 |
| Provider Name | Isabell Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154907939 PECOS PAC ID: 1153730080 Enrollment ID: I20210506000283 |
| Provider Name | Amanda Gayle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477201614 PECOS PAC ID: 0143600981 Enrollment ID: I20220711001131 |
| Provider Name | Okwuchukwu Okpalaeze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215646583 PECOS PAC ID: 4587010798 Enrollment ID: I20231024003656 |
| Provider Name | Ann Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902588502 PECOS PAC ID: 9638526957 Enrollment ID: I20231108002047 |
| Provider Name | Ann White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568979268 PECOS PAC ID: 9537506886 Enrollment ID: I20240321002310 |
| Provider Name | Tyler Downing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497334494 PECOS PAC ID: 6608213962 Enrollment ID: I20240321002803 |
| Provider Name | Lorri Frasier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548905664 PECOS PAC ID: 4688011976 Enrollment ID: I20240321004167 |
| Provider Name | Rhonda M Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598787947 PECOS PAC ID: 2567801913 Enrollment ID: I20240417003379 |
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