| Burke Center | |
|
2001 S Medford Dr Lufkin TX 75901-6260 | |
| (936) 633-5650 | |
| (936) 633-5695 |
| Full Name | Burke Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2001 S Medford Dr, Lufkin, Texas |
| Authorized Official Name and Position | Patsy Dunks (DIRECTOR OF BILLING DEPARTMENT) |
| Authorized Official Contact | 9366335676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burke Center 2001 S Medford Dr Lufkin TX 75901-6260 Ph: (936) 633-5650 | Burke Center 2001 S Medford Dr Lufkin TX 75901-6260 Ph: (936) 633-5650 |
| NPI Number | 1396792420 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 04/16/2012 |
| Medicare PECOS PAC ID | 1254312077 |
|---|---|
| Medicare Enrollment ID | O20040527000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396792420 | NPI | - | NPPES |
| 136367307 | Medicaid | TX | |
| 00AA26 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | H8939 (Texas) | Primary |
| Provider Name | Carol A Nati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326091075 PECOS PAC ID: 8426957465 Enrollment ID: I20040108000166 |
| Provider Name | John M Janes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497813224 PECOS PAC ID: 4880688126 Enrollment ID: I20040412000280 |
| Provider Name | Diane M Van Lier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689736910 PECOS PAC ID: 3173504818 Enrollment ID: I20040527000816 |
| Provider Name | Arif M Shoaib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407838394 PECOS PAC ID: 1850374695 Enrollment ID: I20040611000394 |
| Provider Name | Sharadamani Anandan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750490991 PECOS PAC ID: 0446236129 Enrollment ID: I20040624001112 |
| 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 | Florence F Eddins Folensbee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700966041 PECOS PAC ID: 5890727754 Enrollment ID: I20050831000702 |
| Provider Name | James Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518116128 PECOS PAC ID: 4587696828 Enrollment ID: I20050907000752 |
| Provider Name | Pamela J Petersen-crair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023127271 PECOS PAC ID: 8820004278 Enrollment ID: I20060222000831 |
| Provider Name | Bonnie Lou Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942210315 PECOS PAC ID: 0941217111 Enrollment ID: I20060313000555 |
| Provider Name | Savitha Balakrishna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215011747 PECOS PAC ID: 6507965852 Enrollment ID: I20070627000245 |
| Provider Name | Laurel Blackman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194752576 PECOS PAC ID: 5294816773 Enrollment ID: I20080123000152 |
| Provider Name | Tracie M Dejarnette Holly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699786681 PECOS PAC ID: 5890790109 Enrollment ID: I20080227000401 |
| Provider Name | Nilima N Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639250228 PECOS PAC ID: 4486730819 Enrollment ID: I20080326000511 |
| Provider Name | Avrim Brett Fishkind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093727943 PECOS PAC ID: 2466539804 Enrollment ID: I20080409000300 |
| Provider Name | Steffani L Powell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881870244 PECOS PAC ID: 7719051499 Enrollment ID: I20080729000376 |
| Provider Name | Sridevi N Vemulapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629287586 PECOS PAC ID: 3678631876 Enrollment ID: I20081016000262 |
| Provider Name | Preeti Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
| Provider Name | Wanda K Terry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982714424 PECOS PAC ID: 5496756660 Enrollment ID: I20091008000093 |
| Provider Name | Keith William Caramelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538211941 PECOS PAC ID: 6204973886 Enrollment ID: I20091030000409 |
| Provider Name | Gary D Lefkof |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356570253 PECOS PAC ID: 9537207949 Enrollment ID: I20091104000721 |
| Provider Name | Holly Colleen Dubois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20100513001132 |
| 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 | David L Larned |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487712212 PECOS PAC ID: 5395939508 Enrollment ID: I20101102000387 |
| Provider Name | Carolyn M Rekerdres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104020346 PECOS PAC ID: 7911195367 Enrollment ID: I20101229000339 |
| Provider Name | Sherry Van Meter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134440829 PECOS PAC ID: 5193906980 Enrollment ID: I20110228000375 |
| Provider Name | Lili Meisamy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386894277 PECOS PAC ID: 0446436182 Enrollment ID: I20110516000153 |
| Provider Name | Sara K Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073768248 PECOS PAC ID: 5294911608 Enrollment ID: I20110519000725 |
| Provider Name | Prakash S Shet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285606327 PECOS PAC ID: 0648172312 Enrollment ID: I20120314000810 |
| Provider Name | Abila F Awan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952486979 PECOS PAC ID: 8224130638 Enrollment ID: I20120612000265 |
| Provider Name | Wendy Louise Kirby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831459791 PECOS PAC ID: 7810152766 Enrollment ID: I20120627000780 |
| 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 | Roger G Joe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755070 PECOS PAC ID: 6103090683 Enrollment ID: I20121001000431 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Cesar De Paz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568620672 PECOS PAC ID: 1254570294 Enrollment ID: I20130624000034 |
| Provider Name | Lyle B Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730208158 PECOS PAC ID: 7315855491 Enrollment ID: I20130709000231 |
| Provider Name | John O Lusins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689846701 PECOS PAC ID: 8123290533 Enrollment ID: I20130815000785 |
| 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 | Anastasia Corker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558701565 PECOS PAC ID: 8921241225 Enrollment ID: I20130906000138 |
| Provider Name | Roberta Lise Tumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790853315 PECOS PAC ID: 6608892609 Enrollment ID: I20131004000191 |
| Provider Name | Kelvin D Exum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659567824 PECOS PAC ID: 6901973833 Enrollment ID: I20131015000244 |
| 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 | Tricia G Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972937316 PECOS PAC ID: 7517192230 Enrollment ID: I20131104001338 |
| Provider Name | Rabab Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326269382 PECOS PAC ID: 6002042165 Enrollment ID: I20131119001280 |
| Provider Name | Natalia S Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023446457 PECOS PAC ID: 5890921928 Enrollment ID: I20131120001495 |
| Provider Name | Seema S Varghees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568625044 PECOS PAC ID: 5193953313 Enrollment ID: I20140116000155 |
| Provider Name | Linesse Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20140402000550 |
| Provider Name | Edith Kanyongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114357571 PECOS PAC ID: 0143452748 Enrollment ID: I20140414001893 |
| Provider Name | Michael B Ang-rabanes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255566790 PECOS PAC ID: 3274756564 Enrollment ID: I20140513001576 |
| Provider Name | Daniel F Shreeve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760597082 PECOS PAC ID: 9739156589 Enrollment ID: I20140519000126 |
| Provider Name | Rohini Ravindran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508091265 PECOS PAC ID: 4688899834 Enrollment ID: I20140702001883 |
| Provider Name | Linzi E Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747238 PECOS PAC ID: 0446476816 Enrollment ID: I20140721000250 |
| 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 | Clara Uwamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295177277 PECOS PAC ID: 3173742731 Enrollment ID: I20140912000611 |
| Provider Name | Charoo Chouhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265789432 PECOS PAC ID: 7810117892 Enrollment ID: I20140926000686 |
| Provider Name | Gollavelli Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871754036 PECOS PAC ID: 5092779223 Enrollment ID: I20141018000097 |
| 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 | Frieda Aboul-fotouh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437394293 PECOS PAC ID: 5799950564 Enrollment ID: I20141215001438 |
| Provider Name | Theresa D Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20150224001338 |
| Provider Name | Munira Jiwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558549 PECOS PAC ID: 6406172170 Enrollment ID: I20150225000139 |
| Provider Name | Damaris Chukwura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992100903 PECOS PAC ID: 8426374364 Enrollment ID: I20150311002033 |
| Provider Name | Crystal Odoms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164811329 PECOS PAC ID: 8820314669 Enrollment ID: I20150313000516 |
| 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 | Shiny Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740456144 PECOS PAC ID: 8527218841 Enrollment ID: I20150422001948 |
| Provider Name | Cheryl A Sartain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255648051 PECOS PAC ID: 2163619784 Enrollment ID: I20150422002103 |
| Provider Name | Shaheena Minhas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750461141 PECOS PAC ID: 7911147723 Enrollment ID: I20150424002062 |
| Provider Name | Kathy Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174636203 PECOS PAC ID: 0345240248 Enrollment ID: I20150603002570 |
| 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 | Stephanie V Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215297221 PECOS PAC ID: 0042526683 Enrollment ID: I20150827002465 |
| 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 | Cally M Dingler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164729729 PECOS PAC ID: 4981912219 Enrollment ID: I20151006000840 |
| Provider Name | John D Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169738 PECOS PAC ID: 7810206620 Enrollment ID: I20151019000741 |
| 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 | Sarah B Bandy Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750752648 PECOS PAC ID: 2062713324 Enrollment ID: I20151211000030 |
| Provider Name | John Kenny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750449732 PECOS PAC ID: 9739102716 Enrollment ID: I20151217000691 |
| Provider Name | Anandkumar B Panchal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
| Provider Name | Nicolas D Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023243995 PECOS PAC ID: 9032387576 Enrollment ID: I20160330001073 |
| 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 | 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 | Deepak Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548403827 PECOS PAC ID: 7911022959 Enrollment ID: I20161025002615 |
| Provider Name | Biren P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932543311 PECOS PAC ID: 8729368477 Enrollment ID: I20161215000175 |
| Provider Name | Robin T Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205386349 PECOS PAC ID: 1951681600 Enrollment ID: I20161215000367 |
| Provider Name | Gina K In |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861759672 PECOS PAC ID: 1658652938 Enrollment ID: I20161228000795 |
| Provider Name | Brie Elizabeth Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447546387 PECOS PAC ID: 5799926739 Enrollment ID: I20170208000040 |
| Provider Name | Esiah Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669918488 PECOS PAC ID: 5799061826 Enrollment ID: I20170404001173 |
| 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 | Amara S Chudhary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326272279 PECOS PAC ID: 6800038720 Enrollment ID: I20170619001803 |
| Provider Name | Mary J Hulsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467755769 PECOS PAC ID: 7719161769 Enrollment ID: I20170703000108 |
| Provider Name | Lauren D Laporta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568438471 PECOS PAC ID: 6507031556 Enrollment ID: I20170807001427 |
| Provider Name | Dale Katherine Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477781987 PECOS PAC ID: 1355567728 Enrollment ID: I20170821002476 |
| 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 | 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 | Susan Zink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174843510 PECOS PAC ID: 5092993824 Enrollment ID: I20180117001120 |
| Provider Name | Sandra Lucio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730539602 PECOS PAC ID: 2466732219 Enrollment ID: I20180208000469 |
| Provider Name | Kimberly Gwen Mettetal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194911453 PECOS PAC ID: 7315925708 Enrollment ID: I20180328002127 |
| Provider Name | Samuel D Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831584069 PECOS PAC ID: 9931461134 Enrollment ID: I20180328002205 |
| Provider Name | Lorena Elizabeth Reyna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467872580 PECOS PAC ID: 3173893203 Enrollment ID: I20180613002156 |
| Provider Name | Hector L Rivera Reyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457583585 PECOS PAC ID: 9739302340 Enrollment ID: I20180702000570 |
| 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 | Eliza Karwowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861810384 PECOS PAC ID: 4789934860 Enrollment ID: I20180911002962 |
| Provider Name | Christina S Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396159679 PECOS PAC ID: 0648523282 Enrollment ID: I20181029000500 |
| Provider Name | Anna I Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346715273 PECOS PAC ID: 4385998756 Enrollment ID: I20181121001999 |
| Provider Name | Daniel R Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750676532 PECOS PAC ID: 3072883859 Enrollment ID: I20181207000870 |
| Provider Name | Andre J Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023162559 PECOS PAC ID: 6406917285 Enrollment ID: I20181219002884 |
| 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 | Jamon Blood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316333552 PECOS PAC ID: 8426341926 Enrollment ID: I20190130001747 |
| Provider Name | April M Monarrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598237091 PECOS PAC ID: 5991044158 Enrollment ID: I20190305002964 |
| Provider Name | Kari Whatley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033505979 PECOS PAC ID: 3375853856 Enrollment ID: I20190404001661 |
| Provider Name | Nicholas F Ortiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164878914 PECOS PAC ID: 8628305612 Enrollment ID: I20190814001400 |
| Provider Name | Kelly A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
| Provider Name | Katherine Grace Kozar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720635428 PECOS PAC ID: 4082944699 Enrollment ID: I20190925000733 |
| Provider Name | Shadi Lavasani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366891665 PECOS PAC ID: 7416238399 Enrollment ID: I20191203002552 |
| 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 | Stacen J Velvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124743 PECOS PAC ID: 8729335120 Enrollment ID: I20200601000022 |
| Provider Name | Holly Horton Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649518028 PECOS PAC ID: 9638595457 Enrollment ID: I20200811002525 |
| Provider Name | Brian V Clinton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811481898 PECOS PAC ID: 2365799798 Enrollment ID: I20200812002785 |
| Provider Name | Scott J Tlanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
| Provider Name | Azuka D Udolisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730486077 PECOS PAC ID: 6608159876 Enrollment ID: I20201001001850 |
| Provider Name | Tammy R Larned |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285234260 PECOS PAC ID: 5294146999 Enrollment ID: I20201202000900 |
| Provider Name | Eva Studer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437545852 PECOS PAC ID: 1850706698 Enrollment ID: I20210209001086 |
| Provider Name | Martin Huynh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699138495 PECOS PAC ID: 7416353040 Enrollment ID: I20210908000831 |
| Provider Name | Alba Lara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073047767 PECOS PAC ID: 2961800743 Enrollment ID: I20211008000299 |
| Provider Name | Diem Huong Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679014914 PECOS PAC ID: 6608264403 Enrollment ID: I20211028000180 |
| Provider Name | Michael Watkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932761640 PECOS PAC ID: 6901132620 Enrollment ID: I20220308002515 |
| Provider Name | Andrew Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558867465 PECOS PAC ID: 6709132459 Enrollment ID: I20220428000667 |
| Provider Name | Colette Helene Kendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073074019 PECOS PAC ID: 0749669190 Enrollment ID: I20220615002394 |
| Provider Name | Cassandra Boduch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083177497 PECOS PAC ID: 2163803487 Enrollment ID: I20220719000165 |
| Provider Name | Eneida F Miranda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598293284 PECOS PAC ID: 6305266123 Enrollment ID: I20220815002830 |
| 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 | Karen Ding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356832505 PECOS PAC ID: 0042686040 Enrollment ID: I20221018002451 |
| 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 | Tara Jo Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760188502 PECOS PAC ID: 5395118616 Enrollment ID: I20230307000547 |
| Provider Name | Jose G Vega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952330441 PECOS PAC ID: 8628030988 Enrollment ID: I20230606000422 |
| Provider Name | Eileen Mary Danaher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760152342 PECOS PAC ID: 4486002631 Enrollment ID: I20231128002706 |
| Provider Name | Jonathan Lee Hulkower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063597961 PECOS PAC ID: 0749323343 Enrollment ID: I20231130000581 |
| Provider Name | Rebecca Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295181444 PECOS PAC ID: 4981052990 Enrollment ID: I20231201001533 |
| Provider Name | Antonio Montilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356012488 PECOS PAC ID: 4284082173 Enrollment ID: I20231204001381 |
| Provider Name | Cherie Leeann Chadwick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588355010 PECOS PAC ID: 3971952771 Enrollment ID: I20231205002508 |
| Provider Name | Lori Coon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932557089 PECOS PAC ID: 8729437314 Enrollment ID: I20231207002386 |
| Provider Name | David William Meyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700944543 PECOS PAC ID: 1153770649 Enrollment ID: I20231208002482 |
| Provider Name | Reyna Nicole Witherspoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700650942 PECOS PAC ID: 5294184644 Enrollment ID: I20231211000705 |
| Provider Name | John W Whiteside |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174956619 PECOS PAC ID: 6800245275 Enrollment ID: I20231211001169 |
| Provider Name | Cindy Elaine Carswell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396885950 PECOS PAC ID: 7618326968 Enrollment ID: I20231212000946 |
| Provider Name | Steven L Kahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538103320 PECOS PAC ID: 3375992498 Enrollment ID: I20231213004232 |
| Provider Name | Stephen Lantis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255086765 PECOS PAC ID: 9234588369 Enrollment ID: I20231214000122 |
| Provider Name | Hadley Mahan Simmonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083292981 PECOS PAC ID: 4385093491 Enrollment ID: I20231214003377 |
| Provider Name | Monique Wicker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740636778 PECOS PAC ID: 6204286875 Enrollment ID: I20231221003412 |
| Provider Name | Andrew Stuart Cannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730957416 PECOS PAC ID: 1153772074 Enrollment ID: I20240104003412 |
Present Tense Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Turtle Creek Dr Ste B, Lufkin, TX 75904 Phone: 936-337-2215 | |
Reach Behavioral Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Christie Street, Lufkin, TX 75904 Phone: 936-404-3679 | |
Friendship Health Company, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Denman Ave Ste 120, Lufkin, TX 75901 Phone: 936-994-7010 | |
Pathways Forensic & Mental Health Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 602 S. John Redditt Dr, Lufkin, TX 75904 Phone: 936-238-3868 | |
Grace Counseling Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 S 1st St, Lufkin, TX 75901 Phone: 936-465-2184 | |
Luna Counseling Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2582 Ted Trout Dr, Lufkin, TX 75904 Phone: 936-404-9564 | |
Neurodiagnostic Center Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 Medical Park Dr, Lufkin, TX 75904 Phone: 936-634-6333 Fax: 936-634-6337 |