| Texas Behavioral Health Pllc | |
|
12234 Shadow Creek Pkwy Building 4 Suite 104 Pearland TX 77584-7330 | |
| (713) 429-5325 | |
| (281) 816-5931 |
| Full Name | Texas Behavioral Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12234 Shadow Creek Pkwy, Pearland, Texas |
| Authorized Official Name and Position | Salah Qureshi (PARTNER) |
| Authorized Official Contact | 7134295325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Behavioral Health Pllc 12234 Shadow Creek Pkwy Building 4 Suite 104 Pearland TX 77584-7330 Ph: (713) 429-5325 | Texas Behavioral Health Pllc 12234 Shadow Creek Pkwy Building 4 Suite 104 Pearland TX 77584-7330 Ph: (713) 429-5325 |
| NPI Number | 1881044337 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Medicare PECOS PAC ID | 3971890948 |
|---|---|
| Medicare Enrollment ID | O20160920001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881044337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831225812 PECOS PAC ID: 3476443128 Enrollment ID: I20040317000860 |
| Provider Name | Sophie Gluzkater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730265513 PECOS PAC ID: 9537173778 Enrollment ID: I20060126000967 |
| Provider Name | Raees Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013180793 PECOS PAC ID: 5991852774 Enrollment ID: I20090414000211 |
| Provider Name | Emilio Rene Cardona |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467456897 PECOS PAC ID: 6002001427 Enrollment ID: I20101111000505 |
| Provider Name | Salah Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487833042 PECOS PAC ID: 6204906720 Enrollment ID: I20110309000017 |
| Provider Name | Fasiha Haq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497903272 PECOS PAC ID: 3375781727 Enrollment ID: I20130524000587 |
| Provider Name | Karen Lynn Hughes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770726309 PECOS PAC ID: 4688817786 Enrollment ID: I20130821000096 |
| Provider Name | Saira Mushtaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245524495 PECOS PAC ID: 1850696733 Enrollment ID: I20160302000416 |
| Provider Name | Heather Avelar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720253115 PECOS PAC ID: 3577810969 Enrollment ID: I20180717000395 |
| Provider Name | Oghale Mukoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437666591 PECOS PAC ID: 2769511211 Enrollment ID: I20180925000256 |
| Provider Name | Olga Awuor Ochieng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033693601 PECOS PAC ID: 5698018182 Enrollment ID: I20190524001606 |
| Provider Name | Jellirica Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962904722 PECOS PAC ID: 2860756277 Enrollment ID: I20190620000538 |
| Provider Name | Aishwarya Raju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023435278 PECOS PAC ID: 8426386780 Enrollment ID: I20190823001934 |
| Provider Name | Victor Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346881463 PECOS PAC ID: 4981936978 Enrollment ID: I20191023003585 |
| Provider Name | Khwaja Tariq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639466717 PECOS PAC ID: 5698947299 Enrollment ID: I20191112002683 |
| Provider Name | Dajonitta L Richmond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265896195 PECOS PAC ID: 1052745106 Enrollment ID: I20191223001484 |
| Provider Name | Sheyla Randle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992292528 PECOS PAC ID: 2466880901 Enrollment ID: I20200317001694 |
| Provider Name | Michael Helminiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752944 PECOS PAC ID: 6800218512 Enrollment ID: I20200626000198 |
| Provider Name | Lauren Michelle Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861847113 PECOS PAC ID: 9335438670 Enrollment ID: I20200928003155 |
| Provider Name | Faiza Haque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982249728 PECOS PAC ID: 9133539802 Enrollment ID: I20201109001238 |
| Provider Name | Vipulkumar Devani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619577723 PECOS PAC ID: 4284046137 Enrollment ID: I20201217000180 |
| Provider Name | Tyisha Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275121055 PECOS PAC ID: 8729495940 Enrollment ID: I20210405001684 |
| Provider Name | Shelna Sibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570328 PECOS PAC ID: 6305234071 Enrollment ID: I20211105002180 |
| Provider Name | Syed Noman Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932549250 PECOS PAC ID: 8527360957 Enrollment ID: I20211208001159 |
| Provider Name | Mercy Fatimah Lokulutu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629720966 PECOS PAC ID: 5395131205 Enrollment ID: I20220401000277 |
| Provider Name | Cagdas Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447755749 PECOS PAC ID: 1759777295 Enrollment ID: I20220408001111 |
| Provider Name | Mohammed Ashfaque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952692014 PECOS PAC ID: 2466692678 Enrollment ID: I20220415000006 |
| Provider Name | Jennifer Lee Dunlap-baldez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396498689 PECOS PAC ID: 6103213228 Enrollment ID: I20220420000471 |
| Provider Name | Bayo Ivyl Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134884356 PECOS PAC ID: 1052798774 Enrollment ID: I20220519000469 |
| Provider Name | Ray Fenley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841877024 PECOS PAC ID: 7618357930 Enrollment ID: I20220705001685 |
| Provider Name | Kate Amaka Okwesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942645627 PECOS PAC ID: 7012397177 Enrollment ID: I20220707000122 |
| Provider Name | Kenneth Lee Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063099554 PECOS PAC ID: 0143604470 Enrollment ID: I20220905000268 |
| Provider Name | Angela O Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235875980 PECOS PAC ID: 3375914534 Enrollment ID: I20230125003394 |
| Provider Name | Melissa Negrete |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083368385 PECOS PAC ID: 8022481787 Enrollment ID: I20230227002892 |
| Provider Name | Jennifer Jean Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710666821 PECOS PAC ID: 4981058237 Enrollment ID: I20230920004245 |
| Provider Name | Victor Tran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053976159 PECOS PAC ID: 4880049063 Enrollment ID: I20231007000150 |
| Provider Name | Merdith Dale Roach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851806640 PECOS PAC ID: 2466800347 Enrollment ID: I20231204000948 |
| Provider Name | Brittany Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538674106 PECOS PAC ID: 3274982244 Enrollment ID: I20231215002119 |
| Provider Name | Maritza Wardrop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407575848 PECOS PAC ID: 5991155541 Enrollment ID: I20231222002549 |
| Provider Name | Keshil Waterland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326586835 PECOS PAC ID: 9436500279 Enrollment ID: I20240105003269 |
| Provider Name | Rimi Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770287203 PECOS PAC ID: 5890147029 Enrollment ID: I20240123003555 |
| Provider Name | Rui Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396512208 PECOS PAC ID: 3678926789 Enrollment ID: I20240125000404 |
| Provider Name | Shamira Demetria Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578333647 PECOS PAC ID: 3870938160 Enrollment ID: I20240227000026 |
| Provider Name | Jennie Rae Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558939181 PECOS PAC ID: 1850738600 Enrollment ID: I20240328001378 |
| Provider Name | Huma Qadir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932466885 PECOS PAC ID: 1557642352 Enrollment ID: I20241127000043 |
| Provider Name | Joshua Enyan-takyi Botchway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730900754 PECOS PAC ID: 6305371428 Enrollment ID: I20241127000098 |
Flourishing Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12234 Shadow Creek Pkwy Ste 5108, Pearland, TX 77584 Phone: 832-377-1399 Fax: 832-243-1070 | |
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