| Behavioral Health Consultants | |
|
11211 Taylor Draper Ln Suite 202 Austin TX 78759-3916 | |
| (512) 343-8850 | |
| (512) 343-8079 |
| Full Name | Behavioral Health Consultants |
|---|---|
| Speciality | Psychologist |
| Location | 11211 Taylor Draper Ln, Austin, Texas |
| Authorized Official Name and Position | Charles Clifton Moore (PRESIDENT BEHAVIORAL HEALTH CONSULT) |
| Authorized Official Contact | 5125637792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Consultants 11211 Taylor Draper Ln Suite 202 Austin TX 78759-3916 Ph: (512) 343-8850 | Behavioral Health Consultants 11211 Taylor Draper Ln Suite 202 Austin TX 78759-3916 Ph: (512) 343-8850 |
| NPI Number | 1245275155 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 10/23/2007 |
| Medicare PECOS PAC ID | 9739086091 |
|---|---|
| Medicare Enrollment ID | O20031215000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245275155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Blaine H Carr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477617355 PECOS PAC ID: 4284537317 Enrollment ID: I20040128000265 |
| Provider Name | Guerin A. Bernardin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659306983 PECOS PAC ID: 4385624295 Enrollment ID: I20040721001628 |
| Provider Name | Judith Lynn Sonnenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982642534 PECOS PAC ID: 0840216461 Enrollment ID: I20051021000657 |
| Provider Name | Mark David Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669418554 PECOS PAC ID: 0941228654 Enrollment ID: I20051110000401 |
| Provider Name | Cassandra N Hoke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629030770 PECOS PAC ID: 5294757043 Enrollment ID: I20051221000582 |
| Provider Name | Kelly Olmstead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588769616 PECOS PAC ID: 7810903499 Enrollment ID: I20060307000146 |
| Provider Name | Charles C Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144255381 PECOS PAC ID: 0345147617 Enrollment ID: I20101019001489 |
| Provider Name | Paul M Compton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780733022 PECOS PAC ID: 3072788843 Enrollment ID: I20111206000152 |
| Provider Name | Jeremy Capello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881921948 PECOS PAC ID: 4789839820 Enrollment ID: I20130221000407 |
| Provider Name | Stephanie Dang |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376897546 PECOS PAC ID: 4486890027 Enrollment ID: I20130426000220 |
| Provider Name | Camille G Mami |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922429505 PECOS PAC ID: 9133357494 Enrollment ID: I20140113000276 |
| Provider Name | Lacey Np Lundgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689088205 PECOS PAC ID: 8426270596 Enrollment ID: I20141105002608 |
| Provider Name | Allison Myers Fabian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659683845 PECOS PAC ID: 7810122348 Enrollment ID: I20141208000208 |
| Provider Name | Amanda Lorina Cartwright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003224999 PECOS PAC ID: 2567883119 Enrollment ID: I20200605002203 |
| Provider Name | Vanessa Madrid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811655392 PECOS PAC ID: 8729465190 Enrollment ID: I20220525000017 |
| Provider Name | Natalie Catherine Cartmill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235893058 PECOS PAC ID: 8123408945 Enrollment ID: I20220711000393 |
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