| The Center For Health Care Services | |
|
6800 Park Ten Blvd Suite 200-s San Antonio TX 78213-4200 | |
| (210) 261-1000 | |
| (210) 261-1821 |
| Full Name | The Center For Health Care Services |
|---|---|
| Speciality | Counselor |
| Location | 6800 Park Ten Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Eugene Garcia (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2102611072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Health Care Services 6800 Park Ten Blvd Suite 200-s San Antonio TX 78213-4200 Ph: (210) 261-1000 | The Center For Health Care Services 6800 Park Ten Blvd Suite 200-s San Antonio TX 78213-4200 Ph: (210) 261-1000 |
| NPI Number | 1730134586 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 5496652760 |
|---|---|
| Medicare Enrollment ID | O20031215000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730134586 | NPI | - | NPPES |
| 137251802 | Medicaid | TX | |
| 214224201 | Medicaid | TX | |
| 137251806 | Medicaid | TX | |
| 137251805 | Medicaid | TX | |
| 214269701 | Medicaid | TX | |
| 214247301 | Medicaid | TX | |
| 214282001 | Medicaid | TX | |
| 214284601 | Medicaid | TX | |
| 137251803 | Medicaid | TX | |
| 137251807 | Medicaid | TX | |
| 137251808 | Medicaid | TX |
| Provider Name | Andrea K Iken Tennison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972547800 PECOS PAC ID: 2264331917 Enrollment ID: I20040102000160 |
| Provider Name | Carol A Nati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326091075 PECOS PAC ID: 8426957465 Enrollment ID: I20040108000166 |
| Provider Name | Kirby V Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720050347 PECOS PAC ID: 4587650627 Enrollment ID: I20040422001708 |
| Provider Name | Arif M Shoaib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407838394 PECOS PAC ID: 1850374695 Enrollment ID: I20040611000394 |
| Provider Name | Sarah L Strebeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790895027 PECOS PAC ID: 1153300629 Enrollment ID: I20040717000367 |
| Provider Name | Margit B Gerardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740402742 PECOS PAC ID: 1658342639 Enrollment ID: I20040803001420 |
| Provider Name | Robert C Strayhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023178043 PECOS PAC ID: 7810980828 Enrollment ID: I20040817000043 |
| Provider Name | Susan S Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063913226 PECOS PAC ID: 6002879020 Enrollment ID: I20041110000285 |
| Provider Name | Murali Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851374367 PECOS PAC ID: 8729041777 Enrollment ID: I20041110000497 |
| Provider Name | Jose F Vidal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477546075 PECOS PAC ID: 1355390550 Enrollment ID: I20050114000159 |
| Provider Name | Thomas M Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386747277 PECOS PAC ID: 1557310042 Enrollment ID: I20050122000039 |
| Provider Name | Thomas G Hardaway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417954728 PECOS PAC ID: 6002851425 Enrollment ID: I20050624001010 |
| Provider Name | Margaret J Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780611384 PECOS PAC ID: 1759310121 Enrollment ID: I20050805000409 |
| Provider Name | Giancarlo R Ferruzzi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891844866 PECOS PAC ID: 1456379437 Enrollment ID: I20051108000793 |
| Provider Name | Gregory B Creager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770567828 PECOS PAC ID: 3173543444 Enrollment ID: I20051201000194 |
| Provider Name | Ada S Jemison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932157997 PECOS PAC ID: 9234159476 Enrollment ID: I20051201000932 |
| Provider Name | Zenaida Eclarinal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689631053 PECOS PAC ID: 6002838406 Enrollment ID: I20051229000196 |
| Provider Name | Victoria C Trickett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659362028 PECOS PAC ID: 7416961784 Enrollment ID: I20060126000301 |
| Provider Name | Pamela J Petersen-crair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023127271 PECOS PAC ID: 8820004278 Enrollment ID: I20060222000831 |
| Provider Name | John A Partin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497752273 PECOS PAC ID: 3870585441 Enrollment ID: I20061024000175 |
| Provider Name | Linda K Fortmeier-saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811912223 PECOS PAC ID: 4183622079 Enrollment ID: I20061202000059 |
| Provider Name | Irene L Coronado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477622900 PECOS PAC ID: 7113021064 Enrollment ID: I20070402000599 |
| Provider Name | David C Pan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205916905 PECOS PAC ID: 2264524602 Enrollment ID: I20070815000532 |
| Provider Name | Laurel Blackman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194752576 PECOS PAC ID: 5294816773 Enrollment ID: I20080123000152 |
| Provider Name | Karla A Kuusisto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437371051 PECOS PAC ID: 9234213869 Enrollment ID: I20080221000110 |
| Provider Name | Tracie M Dejarnette Holly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699786681 PECOS PAC ID: 5890790109 Enrollment ID: I20080227000401 |
| Provider Name | Ehireme Ibazebo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639373731 PECOS PAC ID: 5092899153 Enrollment ID: I20080227000692 |
| Provider Name | Nilima N Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639250228 PECOS PAC ID: 4486730819 Enrollment ID: I20080326000511 |
| Provider Name | Michelle Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841473816 PECOS PAC ID: 8729165618 Enrollment ID: I20080402000410 |
| Provider Name | Avrim Brett Fishkind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093727943 PECOS PAC ID: 2466539804 Enrollment ID: I20080409000300 |
| Provider Name | Kevin J Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255479887 PECOS PAC ID: 0941374789 Enrollment ID: I20080728000806 |
| Provider Name | Jose M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558460386 PECOS PAC ID: 9335214683 Enrollment ID: I20080820000657 |
| Provider Name | Yufang J Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093918807 PECOS PAC ID: 3870651433 Enrollment ID: I20081027000083 |
| Provider Name | Preeti Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
| Provider Name | Norma Linda Naghaviani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346228137 PECOS PAC ID: 0244394005 Enrollment ID: I20090123000177 |
| Provider Name | David Hager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558518373 PECOS PAC ID: 6002839727 Enrollment ID: I20090204000443 |
| Provider Name | Fonshay Latrice Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814263 PECOS PAC ID: 0840354833 Enrollment ID: I20090206000188 |
| Provider Name | Amber E Pastusek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235320425 PECOS PAC ID: 2365507530 Enrollment ID: I20090223000445 |
| Provider Name | Thomas L Matthews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952313884 PECOS PAC ID: 4587712765 Enrollment ID: I20090427000496 |
| Provider Name | Sarah S. Rasco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063460988 PECOS PAC ID: 5991736092 Enrollment ID: I20090609000163 |
| Provider Name | Rene L Olvera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528079399 PECOS PAC ID: 1153474671 Enrollment ID: I20090731000309 |
| Provider Name | Brigitte Y Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659382174 PECOS PAC ID: 5799831061 Enrollment ID: I20090929000314 |
| Provider Name | Patricia Carrion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073555967 PECOS PAC ID: 5799822078 Enrollment ID: I20091019000236 |
| Provider Name | Keith William Caramelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538211941 PECOS PAC ID: 6204973886 Enrollment ID: I20091030000409 |
| Provider Name | Robin E Hostetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003972829 PECOS PAC ID: 1355499260 Enrollment ID: I20091130000070 |
| Provider Name | Michael F Salib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710187968 PECOS PAC ID: 6305985110 Enrollment ID: I20091207000614 |
| Provider Name | Diane M Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033444286 PECOS PAC ID: 3072649409 Enrollment ID: I20100324001178 |
| Provider Name | Holly Colleen Dubois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20100513001132 |
| Provider Name | Daphne M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649403817 PECOS PAC ID: 8123158219 Enrollment ID: I20100616000702 |
| Provider Name | Lisamar Maldonado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316127467 PECOS PAC ID: 2163555970 Enrollment ID: I20100730000539 |
| Provider Name | Nadine R Baptiste |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285811752 PECOS PAC ID: 6608914254 Enrollment ID: I20100818000880 |
| Provider Name | Amanda R Rizzari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881894707 PECOS PAC ID: 1557553500 Enrollment ID: I20101008000236 |
| Provider Name | Anamari C Milam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043252281 PECOS PAC ID: 7012109606 Enrollment ID: I20101014000974 |
| Provider Name | Dina Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063730828 PECOS PAC ID: 7416143003 Enrollment ID: I20101122000691 |
| Provider Name | Carolyn M Rekerdres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104020346 PECOS PAC ID: 7911195367 Enrollment ID: I20101229000339 |
| Provider Name | Christina C. Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336454909 PECOS PAC ID: 8527247436 Enrollment ID: I20110125000425 |
| Provider Name | Kelley P Logans-ali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013057058 PECOS PAC ID: 9638350861 Enrollment ID: I20110222000507 |
| Provider Name | Dusty R Wilkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396045506 PECOS PAC ID: 4486837044 Enrollment ID: I20110321000403 |
| Provider Name | Clarissa M Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184703639 PECOS PAC ID: 9133302706 Enrollment ID: I20110321000498 |
| Provider Name | Anna C Tabet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770892697 PECOS PAC ID: 7012190481 Enrollment ID: I20110322000764 |
| Provider Name | Amy Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023249737 PECOS PAC ID: 6204019300 Enrollment ID: I20110328000524 |
| Provider Name | Stephen Dai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629271432 PECOS PAC ID: 0244416964 Enrollment ID: I20110513000655 |
| Provider Name | Lili Meisamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386894277 PECOS PAC ID: 0446436182 Enrollment ID: I20110516000153 |
| Provider Name | Melanie Jayne Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568762524 PECOS PAC ID: 8325217698 Enrollment ID: I20110803000628 |
| Provider Name | Mario A Quintanilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552729 PECOS PAC ID: 0244402303 Enrollment ID: I20111013000541 |
| Provider Name | Jennifer Lee Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851676134 PECOS PAC ID: 7517132566 Enrollment ID: I20111202000624 |
| Provider Name | Monique S Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760769756 PECOS PAC ID: 0446426449 Enrollment ID: I20111221000570 |
| Provider Name | Enrique Sergio Garza-trevino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962585588 PECOS PAC ID: 9830356690 Enrollment ID: I20120206000750 |
| Provider Name | Prakash S Shet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285606327 PECOS PAC ID: 0648172312 Enrollment ID: I20120314000810 |
| Provider Name | Toni Brent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821379561 PECOS PAC ID: 2668633728 Enrollment ID: I20120417000364 |
| Provider Name | Nadeem H Bhatti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528259280 PECOS PAC ID: 2163683087 Enrollment ID: I20120419000405 |
| Provider Name | Abila F Awan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952486979 PECOS PAC ID: 8224130638 Enrollment ID: I20120612000265 |
| Provider Name | Dorcas Adepoju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295947026 PECOS PAC ID: 4082802079 Enrollment ID: I20120619000147 |
| Provider Name | Vanessa M Pfeffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649588062 PECOS PAC ID: 3173788791 Enrollment ID: I20120705000684 |
| Provider Name | Christopher Chee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480173 PECOS PAC ID: 9537325329 Enrollment ID: I20120723000914 |
| Provider Name | Justin James Parrott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053677179 PECOS PAC ID: 5597921924 Enrollment ID: I20120730000285 |
| Provider Name | Cynthia E Nicholson Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689714685 PECOS PAC ID: 8325294283 Enrollment ID: I20120808000427 |
| Provider Name | Kathy J Hickman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689738643 PECOS PAC ID: 9830346576 Enrollment ID: I20120830000781 |
| Provider Name | Maria L Obregon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952586984 PECOS PAC ID: 3274780796 Enrollment ID: I20120905000533 |
| Provider Name | John T Tennison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174829303 PECOS PAC ID: 5991953804 Enrollment ID: I20120919000247 |
| Provider Name | Roger G Joe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755070 PECOS PAC ID: 6103090683 Enrollment ID: I20121001000431 |
| Provider Name | Rosalyn L Womack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194981696 PECOS PAC ID: 8022267129 Enrollment ID: I20121004000818 |
| Provider Name | Straight Line Arla |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1962660068 PECOS PAC ID: 7113177759 Enrollment ID: I20121017000389 |
| Provider Name | Karley Y Little |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467553198 PECOS PAC ID: 4082612023 Enrollment ID: I20121017000629 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Joseph M Montaldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528316981 PECOS PAC ID: 3274787619 Enrollment ID: I20130212000053 |
| Provider Name | Jason C Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285746974 PECOS PAC ID: 5294970703 Enrollment ID: I20130403000294 |
| Provider Name | Cesar De Paz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568620672 PECOS PAC ID: 1254570294 Enrollment ID: I20130624000034 |
| Provider Name | Brett Abernethy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134268436 PECOS PAC ID: 7810043973 Enrollment ID: I20130628000455 |
| Provider Name | Lyle B Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730208158 PECOS PAC ID: 7315855491 Enrollment ID: I20130709000231 |
| Provider Name | Christian Ortiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497031454 PECOS PAC ID: 8224271325 Enrollment ID: I20130821000091 |
| Provider Name | Darice M Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043479892 PECOS PAC ID: 0042453607 Enrollment ID: I20130829000271 |
| Provider Name | Kellye N Singletary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063433324 PECOS PAC ID: 5698918480 Enrollment ID: I20130829000722 |
| Provider Name | Shameem Shaik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134230840 PECOS PAC ID: 0143455386 Enrollment ID: I20131024001199 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20131104001245 |
| Provider Name | Rabab Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326269382 PECOS PAC ID: 6002042165 Enrollment ID: I20131119001280 |
| Provider Name | Choon Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619313293 PECOS PAC ID: 1355577388 Enrollment ID: I20131122000791 |
| Provider Name | Andree M Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821163890 PECOS PAC ID: 6901808856 Enrollment ID: I20131220000851 |
| Provider Name | Sanjeev A Mehra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912245804 PECOS PAC ID: 9234366964 Enrollment ID: I20131230000181 |
| Provider Name | Seema S Varghees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568625044 PECOS PAC ID: 5193953313 Enrollment ID: I20140116000155 |
| Provider Name | Denise Ann Canchola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437267747 PECOS PAC ID: 2567598741 Enrollment ID: I20140125000262 |
| Provider Name | Ruth M Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205151867 PECOS PAC ID: 5991934762 Enrollment ID: I20140128001093 |
| Provider Name | Regina G Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326374836 PECOS PAC ID: 0547499279 Enrollment ID: I20140129001127 |
| Provider Name | Fausto G Saa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427486711 PECOS PAC ID: 0042440794 Enrollment ID: I20140226000332 |
| Provider Name | Vanessa Valles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447689385 PECOS PAC ID: 5698905727 Enrollment ID: I20140311000531 |
| Provider Name | Yusef Ghamarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558797217 PECOS PAC ID: 4082845227 Enrollment ID: I20140401000750 |
| Provider Name | Linesse Md Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20140402000550 |
| Provider Name | Don C Rehwaldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144644493 PECOS PAC ID: 5597997403 Enrollment ID: I20140408001293 |
| Provider Name | Rohini Ravindran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508091265 PECOS PAC ID: 4688899834 Enrollment ID: I20140702001883 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
| Provider Name | Donovan A Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437315967 PECOS PAC ID: 4082752688 Enrollment ID: I20140904002674 |
| Provider Name | Gollavelli Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871754036 PECOS PAC ID: 5092779223 Enrollment ID: I20141018000097 |
| Provider Name | Barbara W Gamez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619290848 PECOS PAC ID: 9335360007 Enrollment ID: I20141021002849 |
| Provider Name | Michele Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942473442 PECOS PAC ID: 7012181183 Enrollment ID: I20141111000893 |
| Provider Name | Deana G Abdel-reheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467696591 PECOS PAC ID: 7315169984 Enrollment ID: I20141114001510 |
| Provider Name | Kindra J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558765727 PECOS PAC ID: 1658693809 Enrollment ID: I20141125002132 |
| Provider Name | Frieda Aboul-fotouh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437394293 PECOS PAC ID: 5799950564 Enrollment ID: I20141215001438 |
| Provider Name | Maria D Saldiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114274628 PECOS PAC ID: 3173846847 Enrollment ID: I20150105000869 |
| Provider Name | Theresa Diem-hang Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20150224001338 |
| Provider Name | Silby J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
| Provider Name | Zahra T Alimohammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114248978 PECOS PAC ID: 5799003133 Enrollment ID: I20150414001842 |
| Provider Name | Jennifer A Urune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073906038 PECOS PAC ID: 2769701762 Enrollment ID: I20150424000391 |
| Provider Name | Shaheena Minhas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750461141 PECOS PAC ID: 7911147723 Enrollment ID: I20150424002062 |
| Provider Name | Jonette S Coquat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801938410 PECOS PAC ID: 3870812555 Enrollment ID: I20150430001217 |
| Provider Name | Patricia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679976369 PECOS PAC ID: 9537480736 Enrollment ID: I20150529002113 |
| Provider Name | Kathy Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174636203 PECOS PAC ID: 0345240248 Enrollment ID: I20150603002570 |
| Provider Name | Jessica F Sandoval |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962723361 PECOS PAC ID: 6608188099 Enrollment ID: I20150626000541 |
| Provider Name | Aaron J Alaniz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851684039 PECOS PAC ID: 0547573354 Enrollment ID: I20150723007146 |
| Provider Name | Natalia Kazakevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
| Provider Name | David Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407177124 PECOS PAC ID: 1052626967 Enrollment ID: I20150820010660 |
| Provider Name | Justin M Scaffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026995 PECOS PAC ID: 2163738964 Enrollment ID: I20150824001983 |
| Provider Name | Stephanie V Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215297221 PECOS PAC ID: 0042526683 Enrollment ID: I20150827002465 |
| Provider Name | Gina D Seyfried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568847226 PECOS PAC ID: 1355658303 Enrollment ID: I20150923002340 |
| Provider Name | Ashutosh Atri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215294004 PECOS PAC ID: 2668638693 Enrollment ID: I20150929002661 |
| Provider Name | Ronald St Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316032147 PECOS PAC ID: 0648201822 Enrollment ID: I20151001001342 |
| Provider Name | Andrea M Seely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255710026 PECOS PAC ID: 7214246990 Enrollment ID: I20151020001552 |
| Provider Name | Christopher S Healey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659669315 PECOS PAC ID: 7810206265 Enrollment ID: I20151026000921 |
| Provider Name | Qingmin Ruan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548586308 PECOS PAC ID: 1456661842 Enrollment ID: I20151116001322 |
| Provider Name | Odochi P Onungwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373673 PECOS PAC ID: 4183790678 Enrollment ID: I20151125000322 |
| Provider Name | John Kenny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750449732 PECOS PAC ID: 9739102716 Enrollment ID: I20151217000691 |
| Provider Name | Jesus N De Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356715155 PECOS PAC ID: 7618278318 Enrollment ID: I20151223000075 |
| Provider Name | David Elliot Barrett Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841674793 PECOS PAC ID: 6204138647 Enrollment ID: I20151231001304 |
| Provider Name | Sumaira Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043247687 PECOS PAC ID: 5991873929 Enrollment ID: I20160127000955 |
| Provider Name | Anandkumar B Panchal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
| Provider Name | Margaret M Betanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336449297 PECOS PAC ID: 9638476450 Enrollment ID: I20160322002279 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20160323002558 |
| Provider Name | Nicolas D Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023243995 PECOS PAC ID: 9032387576 Enrollment ID: I20160330001073 |
| Provider Name | Duncan Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043684897 PECOS PAC ID: 5991002289 Enrollment ID: I20160407000557 |
| Provider Name | Flavio Casoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992032908 PECOS PAC ID: 7214106657 Enrollment ID: I20160427000281 |
| Provider Name | Edgar Samuel Medina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598045981 PECOS PAC ID: 9234429465 Enrollment ID: I20160601000140 |
| Provider Name | Valeria S Lerma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710335914 PECOS PAC ID: 7315238532 Enrollment ID: I20160620000475 |
| Provider Name | Gracie Adkisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063799856 PECOS PAC ID: 6002107257 Enrollment ID: I20160620001831 |
| Provider Name | John Jacob Froelich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497895858 PECOS PAC ID: 5294897302 Enrollment ID: I20160622002265 |
| Provider Name | Daniel V Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255544433 PECOS PAC ID: 9032284526 Enrollment ID: I20160725000835 |
| Provider Name | Paige Ann Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982051728 PECOS PAC ID: 0749574325 Enrollment ID: I20160804000502 |
| Provider Name | Neha P Chaudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720346315 PECOS PAC ID: 1850685280 Enrollment ID: I20160809000206 |
| Provider Name | Felix A Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902073216 PECOS PAC ID: 2163672684 Enrollment ID: I20160811002590 |
| Provider Name | Chidinma E Isinguzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558640094 PECOS PAC ID: 6406157007 Enrollment ID: I20160818001313 |
| Provider Name | Deepak Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548403827 PECOS PAC ID: 7911022959 Enrollment ID: I20161025002615 |
| Provider Name | Taylor S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754814 PECOS PAC ID: 2466731005 Enrollment ID: I20161122001338 |
| Provider Name | Biren P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932543311 PECOS PAC ID: 8729368477 Enrollment ID: I20161215000175 |
| Provider Name | Alebachew F Kindie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538601075 PECOS PAC ID: 9739460106 Enrollment ID: I20161222000737 |
| Provider Name | Emilie Attwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003992348 PECOS PAC ID: 8426339706 Enrollment ID: I20161228000635 |
| Provider Name | Gina K In |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861759672 PECOS PAC ID: 1658652938 Enrollment ID: I20161228000795 |
| Provider Name | Brian E Dillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609255033 PECOS PAC ID: 7416239132 Enrollment ID: I20170112002361 |
| Provider Name | Mark J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629512926 PECOS PAC ID: 7719260843 Enrollment ID: I20170215000262 |
| Provider Name | Katherine A Tharp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558743070 PECOS PAC ID: 2466732565 Enrollment ID: I20170223001905 |
| Provider Name | Vita T Chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215476940 PECOS PAC ID: 5395029995 Enrollment ID: I20170227001742 |
| Provider Name | Karen M Inzurriaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285177659 PECOS PAC ID: 1951685155 Enrollment ID: I20170308000402 |
| Provider Name | Monique V Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699215293 PECOS PAC ID: 3072898105 Enrollment ID: I20170331001736 |
| Provider Name | Rebecca K Grissom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487186623 PECOS PAC ID: 4880971936 Enrollment ID: I20170427002425 |
| Provider Name | Christina F Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437680493 PECOS PAC ID: 2769769728 Enrollment ID: I20170501001985 |
| Provider Name | David R Baltazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699225623 PECOS PAC ID: 1658658562 Enrollment ID: I20170502001871 |
| Provider Name | Faiza N Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780766295 PECOS PAC ID: 5193801520 Enrollment ID: I20170512000476 |
| Provider Name | Lauren S Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700147923 PECOS PAC ID: 8921375106 Enrollment ID: I20170518000071 |
| Provider Name | Micah J Knobles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144668831 PECOS PAC ID: 4789951310 Enrollment ID: I20170601001464 |
| Provider Name | Jessica C Reuben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083974992 PECOS PAC ID: 9537441654 Enrollment ID: I20170717001292 |
| Provider Name | Mili M Khandheria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295094043 PECOS PAC ID: 4688947302 Enrollment ID: I20170831001718 |
| Provider Name | Alicia A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915266 PECOS PAC ID: 0941573588 Enrollment ID: I20170905000037 |
| Provider Name | Joshua D Lord |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255751376 PECOS PAC ID: 4486928439 Enrollment ID: I20170914002939 |
| Provider Name | Marguerite M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891186789 PECOS PAC ID: 7719244797 Enrollment ID: I20171129001710 |
| Provider Name | Arjun G Karkhanis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336465806 PECOS PAC ID: 9638476575 Enrollment ID: I20171208000083 |
| Provider Name | Ihuoma N Okezie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568649366 PECOS PAC ID: 7113088568 Enrollment ID: I20180110003020 |
| Provider Name | Susan Zink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174843510 PECOS PAC ID: 5092993824 Enrollment ID: I20180117001120 |
| Provider Name | Sandra Neli Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730539602 PECOS PAC ID: 2466732219 Enrollment ID: I20180208000469 |
| Provider Name | April M Archuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548769813 PECOS PAC ID: 5597025411 Enrollment ID: I20180213003234 |
| Provider Name | Erum R Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851890875 PECOS PAC ID: 2264792068 Enrollment ID: I20180215000545 |
| Provider Name | Paul Geise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457895666 PECOS PAC ID: 6507130440 Enrollment ID: I20180222001227 |
| Provider Name | Samuel D Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831584069 PECOS PAC ID: 9931461134 Enrollment ID: I20180328002205 |
| Provider Name | Aalamgeer Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386838795 PECOS PAC ID: 1153578893 Enrollment ID: I20180417002296 |
| Provider Name | David A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770072019 PECOS PAC ID: 2567726763 Enrollment ID: I20180515001817 |
| Provider Name | Allan F Tejada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346752524 PECOS PAC ID: 4688939689 Enrollment ID: I20180522001780 |
| Provider Name | Lorena Elizabeth Reyna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467872580 PECOS PAC ID: 3173893203 Enrollment ID: I20180613002156 |
| Provider Name | Jennifer C Schaefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750782215 PECOS PAC ID: 0941508139 Enrollment ID: I20180702001323 |
| Provider Name | Zachary J Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568880094 PECOS PAC ID: 7416204987 Enrollment ID: I20180716002580 |
| Provider Name | Whitney D Baskett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255817128 PECOS PAC ID: 7315296977 Enrollment ID: I20180815003183 |
| Provider Name | William W Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518226299 PECOS PAC ID: 6709178684 Enrollment ID: I20180828000343 |
| Provider Name | Mohammad J Javed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497195481 PECOS PAC ID: 2769792746 Enrollment ID: I20180925001177 |
| Provider Name | Cordelia M Odunayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306325790 PECOS PAC ID: 7719239854 Enrollment ID: I20181017003058 |
| Provider Name | Colin F Aminkeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194208181 PECOS PAC ID: 3577816420 Enrollment ID: I20181023003484 |
| Provider Name | Veronica Faye Bosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467941369 PECOS PAC ID: 6901159771 Enrollment ID: I20181024000891 |
| Provider Name | Christina S Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396159679 PECOS PAC ID: 0648523282 Enrollment ID: I20181029000500 |
| Provider Name | Eileen Theresa Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336659010 PECOS PAC ID: 5193079937 Enrollment ID: I20181114003378 |
| Provider Name | Daniel R Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750676532 PECOS PAC ID: 3072883859 Enrollment ID: I20181207000870 |
| Provider Name | Gillian C Jingwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154899466 PECOS PAC ID: 7810231479 Enrollment ID: I20181207002173 |
| Provider Name | Gina Pitocchelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886426 PECOS PAC ID: 3173753886 Enrollment ID: I20181208000169 |
| Provider Name | Anchalee T Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053887695 PECOS PAC ID: 7517202633 Enrollment ID: I20181218003057 |
| Provider Name | Ryan Landis Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750760948 PECOS PAC ID: 6103131495 Enrollment ID: I20190117002183 |
| Provider Name | Zachary Robert Drennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841728011 PECOS PAC ID: 8325317076 Enrollment ID: I20190123000520 |
| Provider Name | Meredith A Okwesili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932553120 PECOS PAC ID: 2365733839 Enrollment ID: I20190124002474 |
| Provider Name | Jamon Blood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316333552 PECOS PAC ID: 8426341926 Enrollment ID: I20190130001747 |
| Provider Name | Angela Sanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821503012 PECOS PAC ID: 6901145622 Enrollment ID: I20190225001346 |
| Provider Name | William D Richie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053380881 PECOS PAC ID: 7416976972 Enrollment ID: I20190304000330 |
| Provider Name | Stefani A Lafrenierre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750645743 PECOS PAC ID: 8527296755 Enrollment ID: I20190306000258 |
| Provider Name | Christina Bermea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417456393 PECOS PAC ID: 4587904198 Enrollment ID: I20190319000117 |
| Provider Name | Teresa D Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629547898 PECOS PAC ID: 6800136425 Enrollment ID: I20190319000823 |
| Provider Name | Kari Whatley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033505979 PECOS PAC ID: 3375853856 Enrollment ID: I20190404001661 |
| Provider Name | Renee Licorish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437618097 PECOS PAC ID: 2961744008 Enrollment ID: I20190422001000 |
| Provider Name | Keyamo M Omokuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295066694 PECOS PAC ID: 1850634338 Enrollment ID: I20190524001124 |
| Provider Name | Priscilla R Colunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508420126 PECOS PAC ID: 3779816350 Enrollment ID: I20190613001619 |
| Provider Name | Shandra C Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841854080 PECOS PAC ID: 9436485331 Enrollment ID: I20190731000472 |
| Provider Name | Nicholas F Ortiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164878914 PECOS PAC ID: 8628305612 Enrollment ID: I20190814001400 |
| Provider Name | Anna M Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114579257 PECOS PAC ID: 8426386244 Enrollment ID: I20190819000060 |
| Provider Name | Kelly A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
| Provider Name | Elaine M Zuercher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861040271 PECOS PAC ID: 3779813001 Enrollment ID: I20190930000041 |
| Provider Name | Wardell Brian Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440195 PECOS PAC ID: 8325379969 Enrollment ID: I20191011000690 |
| Provider Name | William B Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821658865 PECOS PAC ID: 3072844489 Enrollment ID: I20191016002991 |
| Provider Name | Shadi Lavasani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366891665 PECOS PAC ID: 7416238399 Enrollment ID: I20191203002552 |
| Provider Name | Laura Marie De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821316399 PECOS PAC ID: 6103075601 Enrollment ID: I20191205001844 |
| Provider Name | Olamiji Folake Adeparusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851772107 PECOS PAC ID: 8628370913 Enrollment ID: I20200110001898 |
| Provider Name | Stephanie Vacianna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063055838 PECOS PAC ID: 8022443431 Enrollment ID: I20200113001870 |
| Provider Name | Julie Ann Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609416379 PECOS PAC ID: 3779919469 Enrollment ID: I20200128001346 |
| Provider Name | Maggie A Clifford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326687658 PECOS PAC ID: 6002242682 Enrollment ID: I20200129002413 |
| Provider Name | Vanitha D Kothapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164788709 PECOS PAC ID: 2062716681 Enrollment ID: I20200402000682 |
| Provider Name | Grace H Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563574 PECOS PAC ID: 2365799723 Enrollment ID: I20200403001665 |
| Provider Name | Robert O Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386756989 PECOS PAC ID: 1355501388 Enrollment ID: I20200414002346 |
| Provider Name | Stacen J Velvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124743 PECOS PAC ID: 8729335120 Enrollment ID: I20200601000022 |
| Provider Name | Nathan T Yee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023404605 PECOS PAC ID: 7911206438 Enrollment ID: I20200709000050 |
| Provider Name | Scott J Tlanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
| Provider Name | Valerie L Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477169050 PECOS PAC ID: 1355760919 Enrollment ID: I20200930002886 |
| Provider Name | Azuka D Udolisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730486077 PECOS PAC ID: 6608159876 Enrollment ID: I20201001001850 |
| Provider Name | Jennifer A. Papac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548696420 PECOS PAC ID: 2365783800 Enrollment ID: I20201015001858 |
| Provider Name | Diane M Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770058778 PECOS PAC ID: 8527488808 Enrollment ID: I20201027001070 |
| Provider Name | Jocelyn Jingwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043816002 PECOS PAC ID: 0446664031 Enrollment ID: I20210121002094 |
| Provider Name | Saeid Nekoueian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356955462 PECOS PAC ID: 2365856648 Enrollment ID: I20210127002735 |
| Provider Name | Kedrick J St Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821693011 PECOS PAC ID: 9335553486 Enrollment ID: I20210201000798 |
| Provider Name | Eva Studer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437545852 PECOS PAC ID: 1850706698 Enrollment ID: I20210209001086 |
| Provider Name | Mee T Ooi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508476656 PECOS PAC ID: 8527473727 Enrollment ID: I20210222001689 |
| Provider Name | Marshall H Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154426757 PECOS PAC ID: 9739594359 Enrollment ID: I20210602000812 |
| Provider Name | Robert P Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346557550 PECOS PAC ID: 4789086513 Enrollment ID: I20210715002235 |
| Provider Name | Travis Eric Barton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407200249 PECOS PAC ID: 7911309786 Enrollment ID: I20210715003591 |
| Provider Name | Tracee J Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376114959 PECOS PAC ID: 4688077340 Enrollment ID: I20210720000177 |
| Provider Name | Cynthia E Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689249666 PECOS PAC ID: 5092118240 Enrollment ID: I20210726001026 |
| Provider Name | Scott Michael Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912430679 PECOS PAC ID: 8628355211 Enrollment ID: I20210728000882 |
| Provider Name | Leah E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821667361 PECOS PAC ID: 4789088576 Enrollment ID: I20210802000001 |
| Provider Name | Grace Olabimpe Olaleye-anisere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619551157 PECOS PAC ID: 0749685618 Enrollment ID: I20210817000239 |
| Provider Name | Lauren Nichole Evenski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104354083 PECOS PAC ID: 8628473998 Enrollment ID: I20210825000374 |
| Provider Name | Melissa Diane Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992161244 PECOS PAC ID: 9931507902 Enrollment ID: I20211005001885 |
| Provider Name | Alba Lara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073047767 PECOS PAC ID: 2961800743 Enrollment ID: I20211008000299 |
| Provider Name | Patricia Tokunbo Aniekwena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699938530 PECOS PAC ID: 9739587379 Enrollment ID: I20211012001195 |
| Provider Name | Diem Huong Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679014914 PECOS PAC ID: 6608264403 Enrollment ID: I20211028000180 |
| Provider Name | Carla Jean Sikkema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771862 PECOS PAC ID: 7113317926 Enrollment ID: I20211210000929 |
| Provider Name | Hannah Faye Muncy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487239877 PECOS PAC ID: 8527459833 Enrollment ID: I20211221002113 |
| Provider Name | Mariana Markella-lunati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679731061 PECOS PAC ID: 0345408175 Enrollment ID: I20211229001269 |
| Provider Name | Jennifer Rose Iruegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295402865 PECOS PAC ID: 0143614289 Enrollment ID: I20220307000436 |
| Provider Name | Michael Watkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932761640 PECOS PAC ID: 6901132620 Enrollment ID: I20220308002515 |
| Provider Name | Adeola Julianah Iyamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992470041 PECOS PAC ID: 7618363623 Enrollment ID: I20220330002907 |
| Provider Name | Gwendolyn Ann Porche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700548773 PECOS PAC ID: 6002203700 Enrollment ID: I20220427002907 |
| Provider Name | Andrew Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558867465 PECOS PAC ID: 6709132459 Enrollment ID: I20220428000667 |
| Provider Name | Luis Antonio Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437801586 PECOS PAC ID: 2860889417 Enrollment ID: I20220428001775 |
| Provider Name | Patricia Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679227425 PECOS PAC ID: 0840677076 Enrollment ID: I20220510000100 |
| Provider Name | Colette Helene Kendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073074019 PECOS PAC ID: 0749669190 Enrollment ID: I20220615002394 |
| Provider Name | Michael Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437880085 PECOS PAC ID: 7719368398 Enrollment ID: I20220713002313 |
| Provider Name | Daisy A Payne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255062584 PECOS PAC ID: 1557742723 Enrollment ID: I20220719002252 |
| Provider Name | Kyle M Hodges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134756455 PECOS PAC ID: 4880015650 Enrollment ID: I20220831000479 |
| Provider Name | Van Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194214429 PECOS PAC ID: 0749664258 Enrollment ID: I20220901001924 |
| Provider Name | Sheikh Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306052345 PECOS PAC ID: 4082771456 Enrollment ID: I20220917000082 |
| Provider Name | Karen Ding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356832505 PECOS PAC ID: 0042686040 Enrollment ID: I20221018002451 |
| Provider Name | Oscar David Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548925852 PECOS PAC ID: 0446627616 Enrollment ID: I20221031002095 |
| Provider Name | Marisela Munoz Puga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710515994 PECOS PAC ID: 8325415540 Enrollment ID: I20221101001599 |
| Provider Name | John J Byun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932763620 PECOS PAC ID: 5991035883 Enrollment ID: I20221107000363 |
| Provider Name | Kristina Lee Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427637636 PECOS PAC ID: 9133597511 Enrollment ID: I20221115002934 |
| Provider Name | Barbara Depa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063135374 PECOS PAC ID: 0840663332 Enrollment ID: I20230303000432 |
| Provider Name | Lisa Henry Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861605214 PECOS PAC ID: 0749653079 Enrollment ID: I20230307000997 |
| Provider Name | Fatimah Thiam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669033791 PECOS PAC ID: 3870966120 Enrollment ID: I20230307001815 |
| Provider Name | Monica Jane Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346945318 PECOS PAC ID: 9537525282 Enrollment ID: I20230522003478 |
| Provider Name | Lilia Ann Montes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013603018 PECOS PAC ID: 9436516606 Enrollment ID: I20230601003257 |
| Provider Name | Steven Meek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093005639 PECOS PAC ID: 6709013766 Enrollment ID: I20230615001751 |
| Provider Name | Michael B Lindley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427587914 PECOS PAC ID: 7517239056 Enrollment ID: I20230623000106 |
| Provider Name | Lucee Kate Rakowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881382190 PECOS PAC ID: 3072974682 Enrollment ID: I20230731000118 |
| Provider Name | Trienna Dawn Arthur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164002713 PECOS PAC ID: 3375905268 Enrollment ID: I20230809001417 |
| Provider Name | Craig Ryan Vito Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639700792 PECOS PAC ID: 2466815170 Enrollment ID: I20230829001592 |
| Provider Name | Ashley Lee Cravatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912784554 PECOS PAC ID: 1456708825 Enrollment ID: I20231107000044 |
| Provider Name | Timothy Eugene Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538871025 PECOS PAC ID: 1951758390 Enrollment ID: I20231107002608 |
| Provider Name | Daniel Garza Benavides |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598318685 PECOS PAC ID: 0042667347 Enrollment ID: I20231108001199 |
| Provider Name | Delia Patricia Alviar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093954471 PECOS PAC ID: 9032566203 Enrollment ID: I20231109000565 |
| Provider Name | Alyse Bagnara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639702681 PECOS PAC ID: 0941657118 Enrollment ID: I20231109000566 |
| Provider Name | Ashley Amesquita |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053068825 PECOS PAC ID: 8628425493 Enrollment ID: I20231116000157 |
| Provider Name | Jeanette Blanco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487342572 PECOS PAC ID: 7315394053 Enrollment ID: I20231116003821 |
| Provider Name | Lauren Estrada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558720631 PECOS PAC ID: 6103273859 Enrollment ID: I20231117000199 |
| Provider Name | Kevin Mcbrearty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427092824 PECOS PAC ID: 0941657621 Enrollment ID: I20231117001296 |
| Provider Name | Patricia Mcatee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376099523 PECOS PAC ID: 4587011275 Enrollment ID: I20231117001689 |
| Provider Name | Genesis Moya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083337422 PECOS PAC ID: 3678921350 Enrollment ID: I20231120001688 |
| Provider Name | Annie Cortez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508281783 PECOS PAC ID: 4082062682 Enrollment ID: I20231120002981 |
| Provider Name | Lilliana Morales St. Clair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609198399 PECOS PAC ID: 0446608053 Enrollment ID: I20231120003544 |
| Provider Name | Susan Marie Mercado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144414483 PECOS PAC ID: 6709234321 Enrollment ID: I20231121000376 |
| Provider Name | Sylvia Moreno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124070057 PECOS PAC ID: 1456709088 Enrollment ID: I20231121000735 |
| Provider Name | Clarissa L Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467024356 PECOS PAC ID: 9739537390 Enrollment ID: I20231121002074 |
| Provider Name | Carolina Garcia Pedroza |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1598103152 PECOS PAC ID: 1153779632 Enrollment ID: I20231121003142 |
| Provider Name | Laura A Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063634079 PECOS PAC ID: 3971951476 Enrollment ID: I20231122000052 |
| Provider Name | Maria Melchor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396402376 PECOS PAC ID: 8022466408 Enrollment ID: I20231122003410 |
| Provider Name | Justin Gaston Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598117038 PECOS PAC ID: 3577911924 Enrollment ID: I20231127001467 |
| Provider Name | Cynthia Casiano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225423213 PECOS PAC ID: 8921456294 Enrollment ID: I20231127002633 |
| Provider Name | Roberto Castaneda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073925871 PECOS PAC ID: 8426406703 Enrollment ID: I20231127002922 |
| Provider Name | Christopher D Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558977892 PECOS PAC ID: 6507214889 Enrollment ID: I20231127003004 |
| Provider Name | Omoni L Bostick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457981631 PECOS PAC ID: 2466800784 Enrollment ID: I20231128001081 |
| Provider Name | Luis R Esparza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962923193 PECOS PAC ID: 5597113837 Enrollment ID: I20231128001781 |
| Provider Name | Erika Von Loewe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255376208 PECOS PAC ID: 5890157416 Enrollment ID: I20231128003818 |
| Provider Name | Nickolas Raczek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053917377 PECOS PAC ID: 2163870213 Enrollment ID: I20231129003010 |
| Provider Name | Amy Liveris Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861743338 PECOS PAC ID: 1355799974 Enrollment ID: I20231129003025 |
| Provider Name | Jennifer Ann Golightly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073079836 PECOS PAC ID: 2163870221 Enrollment ID: I20231129003452 |
| Provider Name | Ian Reeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003589839 PECOS PAC ID: 0345698411 Enrollment ID: I20231129003842 |
| Provider Name | Brandalyn Lee Haggerty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881363620 PECOS PAC ID: 2860840980 Enrollment ID: I20231130001624 |
| Provider Name | Katherine Secor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225580632 PECOS PAC ID: 9133577182 Enrollment ID: I20231130003471 |
| Provider Name | Roxanne Huron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174159651 PECOS PAC ID: 5597113555 Enrollment ID: I20231130003982 |
| Provider Name | Jennifer Leigh Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942466206 PECOS PAC ID: 0547618522 Enrollment ID: I20231201000498 |
| Provider Name | Railene Izzett Salinas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225408982 PECOS PAC ID: 4981052966 Enrollment ID: I20231201000562 |
| Provider Name | Briana Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326535857 PECOS PAC ID: 9638527559 Enrollment ID: I20231201002314 |
| Provider Name | Charles Nolan Spivey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003959511 PECOS PAC ID: 4587012406 Enrollment ID: I20231201002617 |
| Provider Name | Helen C Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801457338 PECOS PAC ID: 8820446750 Enrollment ID: I20231201002743 |
| Provider Name | Juanita L Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558304634 PECOS PAC ID: 2668820515 Enrollment ID: I20231202000568 |
| Provider Name | Carolyn Anania Ulinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992270276 PECOS PAC ID: 7517315468 Enrollment ID: I20231203000040 |
| Provider Name | Kennie T Polit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306461652 PECOS PAC ID: 2567810831 Enrollment ID: I20231204000346 |
| Provider Name | Rita Ann Vega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639832470 PECOS PAC ID: 9931557816 Enrollment ID: I20231204000854 |
| Provider Name | Monica C Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295193514 PECOS PAC ID: 9335597228 Enrollment ID: I20231204001131 |
| Provider Name | Veronica Sendejo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902515976 PECOS PAC ID: 5597113480 Enrollment ID: I20231204001216 |
| Provider Name | Orion David Wirick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437503869 PECOS PAC ID: 3375991276 Enrollment ID: I20231204001811 |
| Provider Name | Priscilla Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992242234 PECOS PAC ID: 4082062880 Enrollment ID: I20231204001915 |
| Provider Name | Nancy Sue Tamburo-trevino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902290489 PECOS PAC ID: 7810345618 Enrollment ID: I20231204002210 |
| Provider Name | Stephen O Vega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114253440 PECOS PAC ID: 5890003453 Enrollment ID: I20231204002370 |
| Provider Name | Marina Vladimir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255972808 PECOS PAC ID: 7810345675 Enrollment ID: I20231205000681 |
| Provider Name | Venessa Chambers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679146245 PECOS PAC ID: 9537518337 Enrollment ID: I20231205002421 |
| Provider Name | Karyn Smiley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821746959 PECOS PAC ID: 6406205202 Enrollment ID: I20231205002580 |
| Provider Name | Kenneth L Banks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285354266 PECOS PAC ID: 7416306279 Enrollment ID: I20231206000577 |
| Provider Name | Dorothy Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780092783 PECOS PAC ID: 8224487087 Enrollment ID: I20231206000611 |
| Provider Name | Carolina Garcia Pedroza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598103152 PECOS PAC ID: 1153779632 Enrollment ID: I20231206001354 |
| Provider Name | Samantha Nicol Galloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831479732 PECOS PAC ID: 7719336353 Enrollment ID: I20231208000404 |
| Provider Name | Sergio Mejia |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1871982009 PECOS PAC ID: 6002265576 Enrollment ID: I20231208001910 |
| Provider Name | Lori Laughrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497391163 PECOS PAC ID: 0648629048 Enrollment ID: I20231211002395 |
| Provider Name | Tricia Eileen Stark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326471525 PECOS PAC ID: 8729437132 Enrollment ID: I20231211002910 |
| Provider Name | Kristina Bona |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558891846 PECOS PAC ID: 4284083536 Enrollment ID: I20231212001235 |
| Provider Name | Jana L Irons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902130412 PECOS PAC ID: 8224487582 Enrollment ID: I20231212001448 |
| Provider Name | Austin Rey Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134996838 PECOS PAC ID: 0244689289 Enrollment ID: I20231215000832 |
| Provider Name | Ileana Villarreal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225197940 PECOS PAC ID: 1254780224 Enrollment ID: I20231215002213 |
| Provider Name | Nicole R Bermejillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417514779 PECOS PAC ID: 6901255801 Enrollment ID: I20231218000090 |
| Provider Name | Melanie Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972067056 PECOS PAC ID: 1355790239 Enrollment ID: I20231218003452 |
| Provider Name | John Lapoint |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811663883 PECOS PAC ID: 0143670018 Enrollment ID: I20231219002619 |
| Provider Name | Lauren Marie Wheeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467054239 PECOS PAC ID: 5092165878 Enrollment ID: I20231219003747 |
| Provider Name | Victoria E Abolarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700581857 PECOS PAC ID: 1658721444 Enrollment ID: I20231219004158 |
| Provider Name | Juan Lara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245880111 PECOS PAC ID: 2769830454 Enrollment ID: I20231220000239 |
| Provider Name | Efraim Padilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477597995 PECOS PAC ID: 4688024326 Enrollment ID: I20231221001499 |
| Provider Name | Aimee Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891450417 PECOS PAC ID: 7315397734 Enrollment ID: I20231228000226 |
| Provider Name | Delores Ann Haines |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811046725 PECOS PAC ID: 5294185583 Enrollment ID: I20231228003128 |
| Provider Name | Susan E Ruiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295014371 PECOS PAC ID: 9638520661 Enrollment ID: I20240103004848 |
| Provider Name | Katja-larissa Guinn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093842379 PECOS PAC ID: 1951752914 Enrollment ID: I20240104000737 |
| Provider Name | Tina Cisneros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396239513 PECOS PAC ID: 9739530619 Enrollment ID: I20240104002107 |
| Provider Name | Virgina L Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588607501 PECOS PAC ID: 5193176071 Enrollment ID: I20240104002134 |
| Provider Name | Johnny Bartholomew Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821769134 PECOS PAC ID: 1658722426 Enrollment ID: I20240105000755 |
| Provider Name | Nicte-ha Hartsell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689811838 PECOS PAC ID: 8426409152 Enrollment ID: I20240108003255 |
| Provider Name | Flor Olguin Faure |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184834962 PECOS PAC ID: 1557712700 Enrollment ID: I20240111003616 |
| Provider Name | Patricia Barrientes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144984311 PECOS PAC ID: 7719339746 Enrollment ID: I20240116001326 |
| Provider Name | Lisa Ann Guerra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871153718 PECOS PAC ID: 3971955618 Enrollment ID: I20240118002665 |
| Provider Name | Jennifer L See |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831573765 PECOS PAC ID: 5698127231 Enrollment ID: I20240118003089 |
| Provider Name | Heather Labyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447955059 PECOS PAC ID: 5890147391 Enrollment ID: I20240120000152 |
| Provider Name | Alyssa Anne Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659761047 PECOS PAC ID: 0840525978 Enrollment ID: I20240124001338 |
| Provider Name | Fernando Navarro Puerta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578324398 PECOS PAC ID: 1658724422 Enrollment ID: I20240129000746 |
| Provider Name | Elizabeth Dawn Trejo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609642008 PECOS PAC ID: 1254784051 Enrollment ID: I20240129001677 |
| Provider Name | Carley N Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477044683 PECOS PAC ID: 5799128039 Enrollment ID: I20240203000446 |
| Provider Name | Chandra J Brandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841666245 PECOS PAC ID: 6800230053 Enrollment ID: I20240215004153 |
| Provider Name | Samantha Rose Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235992165 PECOS PAC ID: 9931543980 Enrollment ID: I20240216003929 |
| Provider Name | Avinash Boddapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083900039 PECOS PAC ID: 6406146745 Enrollment ID: I20240221003907 |
| Provider Name | Mylynn Dionaldo Suficiencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437929510 PECOS PAC ID: 4183087414 Enrollment ID: I20240304001095 |
| Provider Name | Tiffany Clinton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669940136 PECOS PAC ID: 6406291004 Enrollment ID: I20240305000611 |
| Provider Name | Andrea Denorah Figueroa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861264103 PECOS PAC ID: 3072959162 Enrollment ID: I20240312000990 |
| Provider Name | Ryan Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457114019 PECOS PAC ID: 5092151001 Enrollment ID: I20240313001623 |
| Provider Name | Kamron Fariba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407315864 PECOS PAC ID: 2567825979 Enrollment ID: I20240319002160 |
| Provider Name | Ernest T Abunaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811558844 PECOS PAC ID: 2062814551 Enrollment ID: I20240327000919 |
| Provider Name | Robert Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245811447 PECOS PAC ID: 2567800287 Enrollment ID: I20240401001519 |
| Provider Name | Henselmo Madrigal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124888524 PECOS PAC ID: 7113365339 Enrollment ID: I20240409000174 |
| Provider Name | Jessica Garay Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972189199 PECOS PAC ID: 3779921713 Enrollment ID: I20240409004759 |
| Provider Name | Marci Dawn Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144097585 PECOS PAC ID: 4880033596 Enrollment ID: I20240415001407 |
| Provider Name | Guillermo Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720839798 PECOS PAC ID: 6709227903 Enrollment ID: I20240517001998 |
| Provider Name | Rhonda Rochelle Herndon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811175664 PECOS PAC ID: 6507208279 Enrollment ID: I20240527000101 |
| Provider Name | Samantha Elizabeth Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972358893 PECOS PAC ID: 6901248624 Enrollment ID: I20240528001172 |
| Provider Name | Vivek Rajani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912393091 PECOS PAC ID: 5890084859 Enrollment ID: I20240614002209 |
Accessing Individual Minds, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10223 Vernlyn Dr, San Antonio, TX 78230 Phone: 210-413-3855 | |
Westover Hills Behavioral Therapy Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 Wiseman Blvd Ste 204, San Antonio, TX 78251 Phone: 210-521-1600 Fax: 210-521-1626 | |
Training Solutions And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Mabry, Suite 100, San Antonio, TX 78226 Phone: 210-922-1274 Fax: 210-932-9891 | |
Bailey Peyton Delaney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4499 Medical Dr Ste 122, San Antonio, TX 78229 Phone: 210-616-0665 Fax: 210-616-0932 | |
South Texas Neuropsychological Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231 Phone: 210-614-3011 Fax: 210-615-6906 | |
Hillary Marvin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6602 Ivywood Dr, San Antonio, TX 78249 Phone: 281-467-4917 | |
Third Space Counseling And Consultation, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Pantheon Way Suite 245, San Antonio, TX 78232 Phone: 210-602-9499 |