| Deer Oaks Consultation Services | |
|
7272 Wurzbach Rd Suite 706 San Antonio TX 78240-4801 | |
| (210) 615-3405 | |
| (210) 615-2279 |
| Full Name | Deer Oaks Consultation Services |
|---|---|
| Speciality | Psychologist |
| Location | 7272 Wurzbach Rd, San Antonio, Texas |
| Authorized Official Name and Position | Paul Alan Boskind (CEO) |
| Authorized Official Contact | 2106158880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Consultation Services 7272 Wurzbach Rd Suite 706 San Antonio TX 78240-4801 Ph: (210) 615-3405 | Deer Oaks Consultation Services 7272 Wurzbach Rd Suite 706 San Antonio TX 78240-4801 Ph: (210) 615-3405 |
| NPI Number | 1134169287 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Medicare PECOS PAC ID | 9234034075 |
|---|---|
| Medicare Enrollment ID | O20031204000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134169287 | NPI | - | NPPES |
| 079987601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 23669 (Texas) | Primary |
| Provider Name | Deborah E Theis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487677829 PECOS PAC ID: 5395640882 Enrollment ID: I20031208000147 |
| Provider Name | Richard E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306877527 PECOS PAC ID: 7810897733 Enrollment ID: I20040108001080 |
| Provider Name | Lois L Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295812618 PECOS PAC ID: 0244124246 Enrollment ID: I20040211000235 |
| Provider Name | Janet E Saul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437305018 PECOS PAC ID: 8022903285 Enrollment ID: I20040217000472 |
| Provider Name | Mark W Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679559819 PECOS PAC ID: 9537055637 Enrollment ID: I20040225000826 |
| Provider Name | Raymond G Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518975010 PECOS PAC ID: 9234121880 Enrollment ID: I20040401001529 |
| Provider Name | Lucy A Arias Ricketts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194878488 PECOS PAC ID: 3274520705 Enrollment ID: I20040427001534 |
| Provider Name | Sharon P Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164439097 PECOS PAC ID: 6608867379 Enrollment ID: I20040520001409 |
| Provider Name | Reynaldo Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821152505 PECOS PAC ID: 5092797522 Enrollment ID: I20040607000973 |
| Provider Name | Debra J Lazarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316931827 PECOS PAC ID: 9133103062 Enrollment ID: I20040617000022 |
| Provider Name | Lisa Lind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831268556 PECOS PAC ID: 7012991763 Enrollment ID: I20040621001690 |
| Provider Name | Sally A Harger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700927761 PECOS PAC ID: 2769454065 Enrollment ID: I20040809000081 |
| Provider Name | Heather Denise Breiter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679511794 PECOS PAC ID: 1951378637 Enrollment ID: I20040913000783 |
| Provider Name | Richard A Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407983620 PECOS PAC ID: 4880653724 Enrollment ID: I20041006001383 |
| Provider Name | Sherrie Danene Hickox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073796033 PECOS PAC ID: 9032179908 Enrollment ID: I20041014000888 |
| Provider Name | Kathryn D Herber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194768374 PECOS PAC ID: 7416911680 Enrollment ID: I20041117000423 |
| Provider Name | Samira M Malik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144237074 PECOS PAC ID: 3779541487 Enrollment ID: I20041228000812 |
| Provider Name | Alicia Patricia Mendoza-bonewits |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770604530 PECOS PAC ID: 4284684630 Enrollment ID: I20050125000064 |
| Provider Name | Lynn R Herr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174554380 PECOS PAC ID: 0143272211 Enrollment ID: I20050216000955 |
| Provider Name | Cathleen C White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164483251 PECOS PAC ID: 1658327242 Enrollment ID: I20050328000133 |
| Provider Name | Thomas K Speer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063434249 PECOS PAC ID: 6709863160 Enrollment ID: I20050405000811 |
| Provider Name | Janet M Arceneaux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780692350 PECOS PAC ID: 0648217927 Enrollment ID: I20050408000868 |
| Provider Name | John W Bordages |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740380732 PECOS PAC ID: 5991744567 Enrollment ID: I20050503000591 |
| Provider Name | Lori E Blakey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750392726 PECOS PAC ID: 4486671336 Enrollment ID: I20051029000245 |
| Provider Name | Catherine Ann Perz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073555868 PECOS PAC ID: 1557388113 Enrollment ID: I20051102000429 |
| Provider Name | Brenda J Sprinkle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568499366 PECOS PAC ID: 9739198144 Enrollment ID: I20060412000738 |
| Provider Name | Jacquelin W Greuling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689626335 PECOS PAC ID: 4789693128 Enrollment ID: I20060413000223 |
| Provider Name | Sharon G Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730120296 PECOS PAC ID: 6507860236 Enrollment ID: I20060911000507 |
| Provider Name | Stacy R Mccord |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487608261 PECOS PAC ID: 8224034491 Enrollment ID: I20061011000252 |
| Provider Name | Teresa B Trusner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912930546 PECOS PAC ID: 8426058553 Enrollment ID: I20070112000485 |
| Provider Name | Shirley N Gruen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750464616 PECOS PAC ID: 7719988989 Enrollment ID: I20070131000229 |
| Provider Name | Douglas W Sander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568567881 PECOS PAC ID: 1850393463 Enrollment ID: I20070212000294 |
| Provider Name | Sally R Good |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801960976 PECOS PAC ID: 3476655952 Enrollment ID: I20070301000550 |
| Provider Name | Donna K Smetana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073664611 PECOS PAC ID: 6800992843 Enrollment ID: I20070508000170 |
| Provider Name | Catherine B Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790859452 PECOS PAC ID: 3072619048 Enrollment ID: I20070508000466 |
| Provider Name | Lawrence J Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134226673 PECOS PAC ID: 1355448101 Enrollment ID: I20070607000673 |
| Provider Name | Billy J James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972547842 PECOS PAC ID: 1153414172 Enrollment ID: I20070907000294 |
| Provider Name | Susan E Justitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346440898 PECOS PAC ID: 7315036266 Enrollment ID: I20071130000226 |
| Provider Name | Tamera K Chauvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215117478 PECOS PAC ID: 6901986066 Enrollment ID: I20080103000720 |
| Provider Name | Rebecca Ann Kraatz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285773184 PECOS PAC ID: 2860455953 Enrollment ID: I20080109000118 |
| Provider Name | Robyn Sybil Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699956326 PECOS PAC ID: 5698855104 Enrollment ID: I20080109000245 |
| Provider Name | Lee L Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679502835 PECOS PAC ID: 5890879803 Enrollment ID: I20080229000294 |
| Provider Name | John G Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467483693 PECOS PAC ID: 8426132432 Enrollment ID: I20080229000297 |
| Provider Name | Saundra J Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023032281 PECOS PAC ID: 9234215146 Enrollment ID: I20080318000421 |
| Provider Name | Robin Sherck-o'connor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356527121 PECOS PAC ID: 3779660683 Enrollment ID: I20080402000892 |
| Provider Name | Eirene M. Wong-liang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134251457 PECOS PAC ID: 1456425974 Enrollment ID: I20081208000210 |
| Provider Name | Phylette N Mitchell-willis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972755346 PECOS PAC ID: 1850453655 Enrollment ID: I20090102000075 |
| Provider Name | Janet M Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487807947 PECOS PAC ID: 6103989751 Enrollment ID: I20090108000549 |
| Provider Name | Fonshay Latrice Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814263 PECOS PAC ID: 0840354833 Enrollment ID: I20090206000188 |
| Provider Name | Daniel A Hamel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598902629 PECOS PAC ID: 2961567474 Enrollment ID: I20090217000578 |
| Provider Name | Linda Galindo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407831860 PECOS PAC ID: 2264598184 Enrollment ID: I20090302000321 |
| Provider Name | Michael J Bridgewater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336358431 PECOS PAC ID: 9032268776 Enrollment ID: I20090528000546 |
| Provider Name | Grace P Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093790586 PECOS PAC ID: 3476611922 Enrollment ID: I20090529000329 |
| Provider Name | Samantha J Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013081660 PECOS PAC ID: 6901957711 Enrollment ID: I20090707000379 |
| Provider Name | Robert L Dinkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932330792 PECOS PAC ID: 2163577875 Enrollment ID: I20090902000161 |
| Provider Name | Ann H Chastang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598992612 PECOS PAC ID: 3375698848 Enrollment ID: I20090904000290 |
| Provider Name | David R Zimmermann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003854894 PECOS PAC ID: 5890894232 Enrollment ID: I20090911000690 |
| Provider Name | James E Ballenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730202466 PECOS PAC ID: 3779639927 Enrollment ID: I20090914000341 |
| Provider Name | Laura L Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225280308 PECOS PAC ID: 7517007040 Enrollment ID: I20091215000119 |
| Provider Name | Laura Lynn Bettor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033150834 PECOS PAC ID: 4082741731 Enrollment ID: I20100428000829 |
| Provider Name | Jamie G Mcnichol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265623060 PECOS PAC ID: 0244362218 Enrollment ID: I20100712000080 |
| Provider Name | Caroline E Norris-mokry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447452883 PECOS PAC ID: 2466576715 Enrollment ID: I20100824000607 |
| Provider Name | Karen O Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003952920 PECOS PAC ID: 2365638152 Enrollment ID: I20101118000945 |
| Provider Name | Robert O'maine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669403994 PECOS PAC ID: 8325234511 Enrollment ID: I20101130000955 |
| Provider Name | Susan M Cumming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447230784 PECOS PAC ID: 1850588278 Enrollment ID: I20101211000039 |
| Provider Name | Mary E. White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407927122 PECOS PAC ID: 0941499818 Enrollment ID: I20110107000048 |
| Provider Name | Jennifer A Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164563987 PECOS PAC ID: 5799974481 Enrollment ID: I20110111000971 |
| Provider Name | Oscar C Glickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215241823 PECOS PAC ID: 2466633086 Enrollment ID: I20110301001037 |
| Provider Name | Santos Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770893042 PECOS PAC ID: 9739361130 Enrollment ID: I20110307000358 |
| Provider Name | Leilani K Oana |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326219320 PECOS PAC ID: 6204019672 Enrollment ID: I20110322000763 |
| Provider Name | Deann G Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114221496 PECOS PAC ID: 4587849468 Enrollment ID: I20110420000271 |
| Provider Name | Juliana Helen O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740579986 PECOS PAC ID: 0244417871 Enrollment ID: I20110608000653 |
| Provider Name | David K Mercer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255470647 PECOS PAC ID: 9931378486 Enrollment ID: I20110817000914 |
| Provider Name | Rachel Annzelle Blanchette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134416639 PECOS PAC ID: 1254503667 Enrollment ID: I20111007000090 |
| Provider Name | Lauren C Ives |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710262019 PECOS PAC ID: 4183899008 Enrollment ID: I20111205000508 |
| Provider Name | Rachel Stroud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619259363 PECOS PAC ID: 4981879343 Enrollment ID: I20111213000682 |
| Provider Name | Patricia Jane Prather |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891072211 PECOS PAC ID: 0446426571 Enrollment ID: I20111220000563 |
| Provider Name | Shelia Montgomery Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518246636 PECOS PAC ID: 8820908841 Enrollment ID: I20111227000312 |
| Provider Name | Jack A Teitsma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831327196 PECOS PAC ID: 7618137894 Enrollment ID: I20120326000470 |
| Provider Name | Traci A Kramer Dudley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467723015 PECOS PAC ID: 2668633850 Enrollment ID: I20120416000320 |
| Provider Name | Ildiko Balla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437368446 PECOS PAC ID: 2769643527 Enrollment ID: I20120423000325 |
| Provider Name | Candace Hargett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972677391 PECOS PAC ID: 9436311230 Enrollment ID: I20120424000025 |
| Provider Name | Darren P Garza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649451287 PECOS PAC ID: 5991964058 Enrollment ID: I20120518000456 |
| Provider Name | Benjamin Conforti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255659918 PECOS PAC ID: 7012171689 Enrollment ID: I20120611000585 |
| Provider Name | Benjamin Allen Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285907873 PECOS PAC ID: 1355507153 Enrollment ID: I20120724000060 |
| Provider Name | Brian M Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659567881 PECOS PAC ID: 8325204803 Enrollment ID: I20120727000501 |
| Provider Name | Ieshea Daniella Jarmon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033407291 PECOS PAC ID: 0840446381 Enrollment ID: I20120815000795 |
| Provider Name | Melissa A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609131127 PECOS PAC ID: 3577712959 Enrollment ID: I20120928000120 |
| Provider Name | Courtney C Cross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538412788 PECOS PAC ID: 7012168685 Enrollment ID: I20121107000302 |
| Provider Name | Christina Lea Downing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821348939 PECOS PAC ID: 4789837824 Enrollment ID: I20130123000424 |
| Provider Name | Steven E Prouty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255676318 PECOS PAC ID: 2567616915 Enrollment ID: I20130212000135 |
| Provider Name | Anita Chellappah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235444092 PECOS PAC ID: 0143474486 Enrollment ID: I20130214000009 |
| Provider Name | Jeridith Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598990806 PECOS PAC ID: 3173530144 Enrollment ID: I20130311000371 |
| Provider Name | Kristy Shallcross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427277953 PECOS PAC ID: 6800032046 Enrollment ID: I20130415000144 |
| Provider Name | Jana C Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538502109 PECOS PAC ID: 4981844552 Enrollment ID: I20130702000070 |
| Provider Name | Lucile A Remington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487092698 PECOS PAC ID: 2163663345 Enrollment ID: I20130731000247 |
| Provider Name | Cassandra Lanelle Plummer Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518303940 PECOS PAC ID: 5496997124 Enrollment ID: I20130809000063 |
| Provider Name | Murray Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477871432 PECOS PAC ID: 1658513155 Enrollment ID: I20130813000565 |
| Provider Name | Carol Derosa Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437439338 PECOS PAC ID: 3577707256 Enrollment ID: I20130919000101 |
| Provider Name | Brian Thomas Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750723813 PECOS PAC ID: 0648405290 Enrollment ID: I20131106001797 |
| Provider Name | Tioana M Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356574743 PECOS PAC ID: 3678616612 Enrollment ID: I20131230000910 |
| Provider Name | Eliza Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447501655 PECOS PAC ID: 4789813486 Enrollment ID: I20140129000285 |
| Provider Name | Verena C Zeinz Harter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568717080 PECOS PAC ID: 6901038686 Enrollment ID: I20140411000094 |
| Provider Name | Sherry K Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679878227 PECOS PAC ID: 8325261712 Enrollment ID: I20140604000712 |
| Provider Name | Gabriel A Jasso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154738516 PECOS PAC ID: 0446478325 Enrollment ID: I20140908000609 |
| Provider Name | Nanette L Hero-vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801205489 PECOS PAC ID: 0648490540 Enrollment ID: I20140926001579 |
| Provider Name | Cherissa R Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255733028 PECOS PAC ID: 4981926284 Enrollment ID: I20141121001848 |
| Provider Name | Nancy Sylvia L Witt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003205071 PECOS PAC ID: 6305160268 Enrollment ID: I20150123001849 |
| Provider Name | Jim Cox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558568642 PECOS PAC ID: 9133443872 Enrollment ID: I20150128001677 |
| Provider Name | Kathleen A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841681210 PECOS PAC ID: 5799001418 Enrollment ID: I20150224000326 |
| Provider Name | Shanan Roth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144238874 PECOS PAC ID: 2567789308 Enrollment ID: I20150316001978 |
| Provider Name | Nicole R Mabry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144577958 PECOS PAC ID: 3072830314 Enrollment ID: I20150325000262 |
| Provider Name | Todd A Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528452042 PECOS PAC ID: 1850610452 Enrollment ID: I20150504000563 |
| Provider Name | Sidney H Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407147085 PECOS PAC ID: 4587984471 Enrollment ID: I20150515001583 |
| Provider Name | Trisha M Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457739864 PECOS PAC ID: 0446561344 Enrollment ID: I20150618002241 |
| Provider Name | Karen Imala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255466611 PECOS PAC ID: 7618281809 Enrollment ID: I20150731016236 |
| Provider Name | William N Mackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740662956 PECOS PAC ID: 5597079541 Enrollment ID: I20150804004764 |
| Provider Name | Jerry Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790164234 PECOS PAC ID: 1850608001 Enrollment ID: I20150921001140 |
| Provider Name | Rebecca Sue Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548440878 PECOS PAC ID: 6709968019 Enrollment ID: I20150925002299 |
| Provider Name | Melanie A Murphey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871909648 PECOS PAC ID: 1951619592 Enrollment ID: I20151001001779 |
| Provider Name | Xiaodong Zhang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598134959 PECOS PAC ID: 1153630504 Enrollment ID: I20151026001057 |
| Provider Name | Geo-anna Quintanilla Hirshenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134326192 PECOS PAC ID: 8820398019 Enrollment ID: I20151119001003 |
| Provider Name | Lisa Gail Maynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285979922 PECOS PAC ID: 5890096259 Enrollment ID: I20151209002013 |
| Provider Name | Andre Vlok |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760856496 PECOS PAC ID: 7618278961 Enrollment ID: I20151210002813 |
| Provider Name | Michelle L Nadeau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407211584 PECOS PAC ID: 6901108448 Enrollment ID: I20151230001190 |
| Provider Name | Seema K Kamath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912103110 PECOS PAC ID: 1153419650 Enrollment ID: I20160112000366 |
| Provider Name | Adriana E Cavazos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285091108 PECOS PAC ID: 5698078384 Enrollment ID: I20160130000026 |
| Provider Name | Melissa Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477692689 PECOS PAC ID: 4981908472 Enrollment ID: I20160203001245 |
| Provider Name | Stephen Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902121668 PECOS PAC ID: 6002114790 Enrollment ID: I20160413000997 |
| Provider Name | Nadia T Hasan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699123075 PECOS PAC ID: 5092005678 Enrollment ID: I20160610000227 |
| Provider Name | Julie R Trevino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649458027 PECOS PAC ID: 1557655164 Enrollment ID: I20160804001148 |
| Provider Name | Timothy C Zymantas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043663941 PECOS PAC ID: 7911291976 Enrollment ID: I20160815000449 |
| Provider Name | Brendel R Doss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699180778 PECOS PAC ID: 3072801042 Enrollment ID: I20161006000305 |
| Provider Name | Douglas Lynde Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780853150 PECOS PAC ID: 9032297890 Enrollment ID: I20161019000858 |
| Provider Name | Kennetha L Frye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922551431 PECOS PAC ID: 7416236799 Enrollment ID: I20161108002551 |
| Provider Name | Brian F Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770034464 PECOS PAC ID: 1759660954 Enrollment ID: I20161110001811 |
| Provider Name | Phillip Alan Hieger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275084642 PECOS PAC ID: 9931264652 Enrollment ID: I20161114000453 |
| Provider Name | Roman Gabriel Venegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704783 PECOS PAC ID: 0840579991 Enrollment ID: I20161114002079 |
| Provider Name | Kathleen J Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528279619 PECOS PAC ID: 0042494627 Enrollment ID: I20161129000946 |
| Provider Name | Erin Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558803262 PECOS PAC ID: 4284914193 Enrollment ID: I20161212002024 |
| Provider Name | Tahirah Trinile Samuels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527619 PECOS PAC ID: 0244513620 Enrollment ID: I20170208003060 |
| Provider Name | Kosha Shetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730622739 PECOS PAC ID: 1456635820 Enrollment ID: I20170302001063 |
| Provider Name | Eliza V Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659416089 PECOS PAC ID: 7517244262 Enrollment ID: I20170505000143 |
| Provider Name | Edwin W Basham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962537035 PECOS PAC ID: 1951339514 Enrollment ID: I20170601000295 |
| Provider Name | Karen C Kalmbach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134493406 PECOS PAC ID: 0244507671 Enrollment ID: I20170606001511 |
| Provider Name | Brian Houst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952610602 PECOS PAC ID: 0446548432 Enrollment ID: I20170907002422 |
| Provider Name | Ashley R Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578793121 PECOS PAC ID: 3577838440 Enrollment ID: I20171003004094 |
| Provider Name | Charles Andrew Mccall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568981066 PECOS PAC ID: 5698040350 Enrollment ID: I20171005000697 |
| Provider Name | Andrea Urbanek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245761113 PECOS PAC ID: 9234405812 Enrollment ID: I20171026001064 |
| Provider Name | Theodore V Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710434543 PECOS PAC ID: 6305102062 Enrollment ID: I20171113002662 |
| Provider Name | Fahdeela Memon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841702636 PECOS PAC ID: 1153688106 Enrollment ID: I20171129000294 |
| Provider Name | Emily J Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114431624 PECOS PAC ID: 7416214283 Enrollment ID: I20171204000647 |
| Provider Name | Ronald Steven Palomares |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831327832 PECOS PAC ID: 2062779887 Enrollment ID: I20171204002581 |
| Provider Name | Balwindar Kaur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104104579 PECOS PAC ID: 0547521551 Enrollment ID: I20180307001212 |
| Provider Name | Patricia Dee Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801302278 PECOS PAC ID: 9830452150 Enrollment ID: I20180418001902 |
| Provider Name | Whitney E. Herrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649768466 PECOS PAC ID: 1658635180 Enrollment ID: I20180508002252 |
| Provider Name | Margaret Goodrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184121980 PECOS PAC ID: 3274898507 Enrollment ID: I20180607000758 |
| Provider Name | Paige Neumeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538657663 PECOS PAC ID: 0244595528 Enrollment ID: I20180607002848 |
| Provider Name | Andria Mccarty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639588379 PECOS PAC ID: 0648525956 Enrollment ID: I20180608001282 |
| Provider Name | Jacquelyn Marie Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184981540 PECOS PAC ID: 9335494244 Enrollment ID: I20180618002600 |
| Provider Name | Dana D Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608866 PECOS PAC ID: 1254686611 Enrollment ID: I20180626002814 |
| Provider Name | Kelsey C Beers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124527478 PECOS PAC ID: 2961750211 Enrollment ID: I20180802003785 |
| Provider Name | Margaret M Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831678259 PECOS PAC ID: 7416206677 Enrollment ID: I20180821002194 |
| Provider Name | Mark C Bigley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518297506 PECOS PAC ID: 1759426653 Enrollment ID: I20180827001716 |
| Provider Name | Maritza Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699095257 PECOS PAC ID: 0547480469 Enrollment ID: I20181002002912 |
| Provider Name | Carol Ann Fonseca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588142061 PECOS PAC ID: 6002169232 Enrollment ID: I20181105002094 |
| Provider Name | Jane Hebert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528539962 PECOS PAC ID: 3577809995 Enrollment ID: I20190107000703 |
| Provider Name | Laura Lynn Greenlee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164510368 PECOS PAC ID: 0547506974 Enrollment ID: I20190107001194 |
| Provider Name | Edward G Kardell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306933304 PECOS PAC ID: 9436496163 Enrollment ID: I20190204000050 |
| Provider Name | Natalie R Ovcharov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164996906 PECOS PAC ID: 0446597199 Enrollment ID: I20190204000980 |
| Provider Name | Emmanuel Mascorro-pinto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083152656 PECOS PAC ID: 4284972886 Enrollment ID: I20190206001013 |
| Provider Name | Krista S Mcglynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710362199 PECOS PAC ID: 4385982784 Enrollment ID: I20190211000450 |
| Provider Name | Christina R Rolerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891122867 PECOS PAC ID: 5092054593 Enrollment ID: I20190227002891 |
| Provider Name | Rita A Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164514626 PECOS PAC ID: 5597005108 Enrollment ID: I20190319000500 |
| Provider Name | Teresa Ann Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992269138 PECOS PAC ID: 6800136433 Enrollment ID: I20190319001242 |
| Provider Name | Mychelle Marie Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164584835 PECOS PAC ID: 1557602372 Enrollment ID: I20190404001089 |
| Provider Name | Jennifer Isabelle Caussade Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730640442 PECOS PAC ID: 9537400890 Enrollment ID: I20190415001081 |
| Provider Name | Jacinda Celeste Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053891655 PECOS PAC ID: 6305187691 Enrollment ID: I20190415002364 |
| Provider Name | Ginna Kim Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396219762 PECOS PAC ID: 7911249578 Enrollment ID: I20190430002629 |
| Provider Name | Irmaris Rios-vazquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285197525 PECOS PAC ID: 5597007047 Enrollment ID: I20190502000622 |
| Provider Name | Travis Ethan White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972902625 PECOS PAC ID: 8123360617 Enrollment ID: I20190502001937 |
| Provider Name | Jeremy Lamar Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356778070 PECOS PAC ID: 8022350396 Enrollment ID: I20190507001671 |
| Provider Name | Breanna Leigh Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447780911 PECOS PAC ID: 3274876370 Enrollment ID: I20190513000756 |
| Provider Name | Beverly Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710397088 PECOS PAC ID: 5991017246 Enrollment ID: I20190611003753 |
| Provider Name | Richard Paul Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801806450 PECOS PAC ID: 8123351731 Enrollment ID: I20190613003075 |
| Provider Name | Sara Moody Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568938686 PECOS PAC ID: 3678806171 Enrollment ID: I20190617001170 |
| Provider Name | Sara Lee Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316447659 PECOS PAC ID: 5092077461 Enrollment ID: I20190805000849 |
| Provider Name | Raquel Estrada Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114080140 PECOS PAC ID: 2860729720 Enrollment ID: I20190815000400 |
| Provider Name | Lakeisha Yvette Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144651399 PECOS PAC ID: 0446587208 Enrollment ID: I20190816001111 |
| Provider Name | Angela Denise Dobbins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699229138 PECOS PAC ID: 2163750209 Enrollment ID: I20190827002492 |
| Provider Name | Betty Jane Quintana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144879958 PECOS PAC ID: 4587994926 Enrollment ID: I20190926002847 |
| Provider Name | Iris Taber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710924287 PECOS PAC ID: 2466884382 Enrollment ID: I20191114003080 |
| Provider Name | Sean Daniel Marmolejo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801336656 PECOS PAC ID: 3476985870 Enrollment ID: I20191122000538 |
| Provider Name | Nicole Ja-von Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053957092 PECOS PAC ID: 5597198184 Enrollment ID: I20191212002263 |
| Provider Name | Tanya Leimomi Kort |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134575814 PECOS PAC ID: 0547694291 Enrollment ID: I20200106000860 |
| Provider Name | Jason A Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831591486 PECOS PAC ID: 0547695900 Enrollment ID: I20200114001394 |
| Provider Name | Divya Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881232122 PECOS PAC ID: 6608201884 Enrollment ID: I20200116000282 |
| Provider Name | Dawn Rene Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164062261 PECOS PAC ID: 1254766157 Enrollment ID: I20200123001530 |
| Provider Name | Arturo Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700160553 PECOS PAC ID: 5193153559 Enrollment ID: I20200317002594 |
| Provider Name | Manuel E Varela |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427681469 PECOS PAC ID: 3173952785 Enrollment ID: I20200402002195 |
| Provider Name | Joshua M Warnica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942836507 PECOS PAC ID: 1052734084 Enrollment ID: I20200709002750 |
| Provider Name | Kimberly Yvonne Schmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487271391 PECOS PAC ID: 9638592447 Enrollment ID: I20200713003011 |
| Provider Name | April Kathryn Soper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609223213 PECOS PAC ID: 8820400617 Enrollment ID: I20201221000818 |
| Provider Name | Brandy Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598360653 PECOS PAC ID: 3072926450 Enrollment ID: I20201231001261 |
| Provider Name | Bianca I Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245822261 PECOS PAC ID: 3072928563 Enrollment ID: I20210216000093 |
| Provider Name | Krissel Ailyn Montano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295388007 PECOS PAC ID: 0446665822 Enrollment ID: I20210217000452 |
| Provider Name | Melissa Ann Tarver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972193035 PECOS PAC ID: 2264848415 Enrollment ID: I20210312000653 |
| Provider Name | Todd L Oyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508441783 PECOS PAC ID: 4183030224 Enrollment ID: I20210315002207 |
| Provider Name | Joanna Ortiz Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336724673 PECOS PAC ID: 3476960824 Enrollment ID: I20210331000937 |
| Provider Name | Drummond R Bush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629658406 PECOS PAC ID: 2769890227 Enrollment ID: I20210421002525 |
| Provider Name | Ashleigh Elizabeth Fellows |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194323097 PECOS PAC ID: 8921407230 Enrollment ID: I20210518002735 |
| Provider Name | Robin Amy White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134418338 PECOS PAC ID: 7517366834 Enrollment ID: I20210518002946 |
| Provider Name | Sasha Anneliesa Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144805714 PECOS PAC ID: 4486054582 Enrollment ID: I20210610002789 |
| Provider Name | Mark Allen Tipton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093827776 PECOS PAC ID: 7911286976 Enrollment ID: I20210622000273 |
| Provider Name | Mona R Bartram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225395171 PECOS PAC ID: 3476777384 Enrollment ID: I20210720001040 |
| Provider Name | Leeshawn L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639741812 PECOS PAC ID: 6406259910 Enrollment ID: I20210721002787 |
| Provider Name | Elizabeth R Madrigal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386217362 PECOS PAC ID: 3476956822 Enrollment ID: I20210723000420 |
| Provider Name | Shaunquette V Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669146940 PECOS PAC ID: 5799189130 Enrollment ID: I20210809000255 |
| Provider Name | Sandra L Chadis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548934631 PECOS PAC ID: 4880098193 Enrollment ID: I20210809003850 |
| Provider Name | Julie Ann Whitney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467035923 PECOS PAC ID: 9436555117 Enrollment ID: I20210903000756 |
| Provider Name | Christine L Thomas Cossio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063181162 PECOS PAC ID: 7911304027 Enrollment ID: I20210915004018 |
| Provider Name | Teshia Eppinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740831411 PECOS PAC ID: 7810387883 Enrollment ID: I20211206001968 |
| Provider Name | Jolanna Jenae' Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871250985 PECOS PAC ID: 6305236282 Enrollment ID: I20211208001671 |
| Provider Name | Jania Amir-razavi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649402470 PECOS PAC ID: 0840682142 Enrollment ID: I20220119000019 |
| Provider Name | Madison Nicole Perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114682598 PECOS PAC ID: 6507258522 Enrollment ID: I20220124001966 |
| Provider Name | Terry Elias Trevino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013661396 PECOS PAC ID: 8729471628 Enrollment ID: I20220216001604 |
| Provider Name | Yesenia Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336800960 PECOS PAC ID: 9931593126 Enrollment ID: I20220304000602 |
| Provider Name | Lisa Marie Foerster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275288607 PECOS PAC ID: 9739573726 Enrollment ID: I20220309000737 |
| Provider Name | Ghian Fhillipe Pieraldi Vassallo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508512997 PECOS PAC ID: 3678968336 Enrollment ID: I20220315002035 |
| Provider Name | Mary Elizabeth Addison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760737530 PECOS PAC ID: 9830584507 Enrollment ID: I20220315002471 |
| Provider Name | Ashley Partain Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891297503 PECOS PAC ID: 0244627842 Enrollment ID: I20220429000980 |
| Provider Name | Melanie White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407590581 PECOS PAC ID: 1850778150 Enrollment ID: I20220505002508 |
| Provider Name | Daniel Howard Kretchman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487943536 PECOS PAC ID: 4880911270 Enrollment ID: I20220602002717 |
| Provider Name | Annalisa Nadine Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801535422 PECOS PAC ID: 5799163366 Enrollment ID: I20220610000259 |
| Provider Name | Andrea Beth Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568100105 PECOS PAC ID: 1850770157 Enrollment ID: I20220616001240 |
| Provider Name | Jorge A Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669723912 PECOS PAC ID: 2668852187 Enrollment ID: I20220630000625 |
| Provider Name | Martha Ogden Krider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528792124 PECOS PAC ID: 5395126189 Enrollment ID: I20220726001490 |
| Provider Name | Jordan Myles Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609447929 PECOS PAC ID: 5799167367 Enrollment ID: I20220728001640 |
| Provider Name | Chelette Mcclendon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538891999 PECOS PAC ID: 1153705603 Enrollment ID: I20220831003631 |
| Provider Name | Samuel A Wolde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275173536 PECOS PAC ID: 9739503426 Enrollment ID: I20220908001888 |
| Provider Name | Virginia Ann Bovermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114592870 PECOS PAC ID: 7012392665 Enrollment ID: I20220916002889 |
| Provider Name | Miyori T Pullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831813781 PECOS PAC ID: 0143696278 Enrollment ID: I20221014001512 |
| Provider Name | Rebecca Jean Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437800489 PECOS PAC ID: 8325414725 Enrollment ID: I20221025003229 |
| Provider Name | Stasa Todorovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093256976 PECOS PAC ID: 2365819687 Enrollment ID: I20221029000211 |
| Provider Name | Keysha L Madison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972228823 PECOS PAC ID: 2062880883 Enrollment ID: I20221128002292 |
| Provider Name | Chantell Hebert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265889836 PECOS PAC ID: 4880064286 Enrollment ID: I20221229001316 |
| Provider Name | Sophie Susan Hamady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366921892 PECOS PAC ID: 5395115117 Enrollment ID: I20230111002917 |
| Provider Name | Natoya Marie Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407438278 PECOS PAC ID: 8123499753 Enrollment ID: I20230118002934 |
| Provider Name | Wendy L Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588767701 PECOS PAC ID: 5698146819 Enrollment ID: I20230126002435 |
| Provider Name | Angela Newbern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548653751 PECOS PAC ID: 6709258551 Enrollment ID: I20230206000251 |
| Provider Name | Prudence Annette Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225221740 PECOS PAC ID: 4789057423 Enrollment ID: I20230228003070 |
| Provider Name | Paul E Antoniou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811016348 PECOS PAC ID: 8022354000 Enrollment ID: I20230317000320 |
| Provider Name | Diana R Stepp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255047437 PECOS PAC ID: 8820462419 Enrollment ID: I20230322001223 |
| Provider Name | Rassan Abdull Follis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063128189 PECOS PAC ID: 4183098452 Enrollment ID: I20230328002353 |
| Provider Name | Rebecca Ranell Quevedo-stafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457013435 PECOS PAC ID: 0042685877 Enrollment ID: I20230410002058 |
| Provider Name | Tia Denise Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134822612 PECOS PAC ID: 8628443306 Enrollment ID: I20230411001843 |
| Provider Name | Ashley Tarrant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346930666 PECOS PAC ID: 7012374689 Enrollment ID: I20230613002462 |
| Provider Name | Rose Anna Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265125702 PECOS PAC ID: 9931567583 Enrollment ID: I20230614001897 |
| Provider Name | Bryan William Barthlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881349348 PECOS PAC ID: 6608235049 Enrollment ID: I20230703003018 |
| Provider Name | Ngwe Kien Kimbeng Belinda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750083523 PECOS PAC ID: 6406215714 Enrollment ID: I20230705002120 |
| Provider Name | Ralisha L Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205189966 PECOS PAC ID: 8820458615 Enrollment ID: I20230712000436 |
| Provider Name | Shivanti Singh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881378057 PECOS PAC ID: 8022470731 Enrollment ID: I20230811002702 |
| Provider Name | Carmen Deianira Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134477888 PECOS PAC ID: 4789047747 Enrollment ID: I20230824001267 |
| Provider Name | Kari Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508544800 PECOS PAC ID: 9739542150 Enrollment ID: I20230831002884 |
| Provider Name | Stacey Miller Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053426122 PECOS PAC ID: 5496843351 Enrollment ID: I20230907003863 |
| Provider Name | Roxanna Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245926963 PECOS PAC ID: 7911361795 Enrollment ID: I20230912003090 |
| Provider Name | Venieca G Kusek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124806336 PECOS PAC ID: 8820443237 Enrollment ID: I20231004002537 |
| Provider Name | James Scott Creighton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962552455 PECOS PAC ID: 7810342268 Enrollment ID: I20231005000297 |
| Provider Name | Debora Bina Handojo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851173918 PECOS PAC ID: 6608222591 Enrollment ID: I20231030001051 |
| Provider Name | Maria Coppersmith-buschman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124804844 PECOS PAC ID: 5496101123 Enrollment ID: I20231031003768 |
| Provider Name | Frank Garza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992869242 PECOS PAC ID: 4587012968 Enrollment ID: I20231122003382 |
| Provider Name | Ronald J. Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184498800 PECOS PAC ID: 8921456195 Enrollment ID: I20231128003183 |
| Provider Name | James Daniel Coley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881366516 PECOS PAC ID: 2860840758 Enrollment ID: I20231204001194 |
| Provider Name | Kelli Elaine Hudgins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356114797 PECOS PAC ID: 3173971900 Enrollment ID: I20231204003218 |
| Provider Name | Lori Johnson Lara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598113581 PECOS PAC ID: 2769830595 Enrollment ID: I20231204003424 |
| Provider Name | Diana L Stafford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285979039 PECOS PAC ID: 0941659635 Enrollment ID: I20231206002497 |
| Provider Name | Dawn M Stilwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780010900 PECOS PAC ID: 2567811250 Enrollment ID: I20231206002576 |
| Provider Name | Jeff Alan Chandler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003380833 PECOS PAC ID: 1850740580 Enrollment ID: I20231206004165 |
| Provider Name | Jenny L. Coventry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538410667 PECOS PAC ID: 5294184933 Enrollment ID: I20231207000274 |
| Provider Name | Vera A Dreiling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457510232 PECOS PAC ID: 4082063599 Enrollment ID: I20231208003343 |
| Provider Name | Karla Lysette Corro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083348858 PECOS PAC ID: 4880044213 Enrollment ID: I20231228000532 |
| Provider Name | Olivia Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073842837 PECOS PAC ID: 1254781487 Enrollment ID: I20231229000770 |
| Provider Name | Hector R Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871188136 PECOS PAC ID: 1951758721 Enrollment ID: I20240103002728 |
| Provider Name | Amy Allison Boelkens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053181107 PECOS PAC ID: 2860844032 Enrollment ID: I20240123004900 |
| Provider Name | Angel Manuel Almeraz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639867302 PECOS PAC ID: 1557714615 Enrollment ID: I20240125001946 |
| Provider Name | Yesim Saatci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518738160 PECOS PAC ID: 5395189682 Enrollment ID: I20240214002655 |
| Provider Name | Marisa M Ybarra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760958581 PECOS PAC ID: 3577907765 Enrollment ID: I20240215001998 |
| Provider Name | Janet Sims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033870415 PECOS PAC ID: 7810331329 Enrollment ID: I20240222002807 |
| Provider Name | Amanda Inez Rosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306138292 PECOS PAC ID: 8527415355 Enrollment ID: I20240229002274 |
| Provider Name | Cynthia Anne Granados |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033304738 PECOS PAC ID: 1850737933 Enrollment ID: I20240312000735 |
| Provider Name | Sherry Marasse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003157165 PECOS PAC ID: 2062858822 Enrollment ID: I20240314003476 |
| Provider Name | Rosaicela Escobedo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407912165 PECOS PAC ID: 5395181176 Enrollment ID: I20240314004198 |
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 |