| Geode Health Of Texas, Pllc | |
|
610 S Watters Rd Ste 130 Allen TX 75013-5008 | |
| (469) 854-3263 | |
| (630) 912-4241 |
| Full Name | Geode Health Of Texas, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 610 S Watters Rd Ste 130, Allen, Texas |
| Authorized Official Name and Position | Ravi Navin Shah (CMO) |
| Authorized Official Contact | 6306862706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geode Health Of Texas, Pllc 1211 W 22nd St Ste 400 Oak Brook IL 60523-2110 Ph: (630) 571-6077 | Geode Health Of Texas, Pllc 610 S Watters Rd Ste 130 Allen TX 75013-5008 Ph: (469) 854-3263 |
| NPI Number | 1851037162 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Medicare PECOS PAC ID | 2062896897 |
|---|---|
| Medicare Enrollment ID | O20220829001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851037162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | William Henry Reading |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205027562 PECOS PAC ID: 2668444183 Enrollment ID: I20040806000272 |
| Provider Name | Tammi S Schrager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740206713 PECOS PAC ID: 1557374030 Enrollment ID: I20060731000125 |
| Provider Name | John M Bouras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669514311 PECOS PAC ID: 2668433095 Enrollment ID: I20070730000569 |
| Provider Name | Oladele A Adebogun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104822097 PECOS PAC ID: 5698872547 Enrollment ID: I20140115000694 |
| Provider Name | Richelle Easley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902112147 PECOS PAC ID: 1254558034 Enrollment ID: I20140819001916 |
| Provider Name | Lori Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691454 PECOS PAC ID: 6507139920 Enrollment ID: I20170907000697 |
| Provider Name | Latarsha Waltronia Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376073072 PECOS PAC ID: 9032474283 Enrollment ID: I20180517002220 |
| Provider Name | Colin Ross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437266392 PECOS PAC ID: 4587095633 Enrollment ID: I20200506000293 |
| Provider Name | Ayako Sugiyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871128157 PECOS PAC ID: 8022433663 Enrollment ID: I20200730000572 |
| Provider Name | Peter C Soo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457430050 PECOS PAC ID: 9739478199 Enrollment ID: I20200819003468 |
| Provider Name | Allison A Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821603390 PECOS PAC ID: 5092133421 Enrollment ID: I20200916001338 |
| Provider Name | Karen Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043717093 PECOS PAC ID: 9739435397 Enrollment ID: I20201113000612 |
| Provider Name | Reshmi Dutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144607565 PECOS PAC ID: 2062825557 Enrollment ID: I20201229002920 |
| Provider Name | Princess C Uzoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093457798 PECOS PAC ID: 3072992569 Enrollment ID: I20220613002206 |
| Provider Name | Obianuju Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952031478 PECOS PAC ID: 2567842511 Enrollment ID: I20220708000636 |
| Provider Name | Abiola Oyenwen Izekor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194455741 PECOS PAC ID: 1153704374 Enrollment ID: I20220819001521 |
| Provider Name | Olivier Bertrand Djoumessi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568085074 PECOS PAC ID: 2860876794 Enrollment ID: I20220826001049 |
| Provider Name | Misti Renay Zotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063142156 PECOS PAC ID: 1153706940 Enrollment ID: I20220914003039 |
| Provider Name | Carla Mae Weismantel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760111256 PECOS PAC ID: 0143605949 Enrollment ID: I20220914003640 |
| Provider Name | Jennifer Kathleen Roberts-clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689311870 PECOS PAC ID: 9638554488 Enrollment ID: I20220915001612 |
| Provider Name | Deniece Russell-mcadory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629408463 PECOS PAC ID: 6800019555 Enrollment ID: I20220927000038 |
| Provider Name | Anita S Philip-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710515796 PECOS PAC ID: 7810399953 Enrollment ID: I20221017001320 |
| Provider Name | John Nichalos Kamphaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013924257 PECOS PAC ID: 9830411206 Enrollment ID: I20221107001908 |
| 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 | Adeline Monger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700593654 PECOS PAC ID: 3072984103 Enrollment ID: I20230126003445 |
| Provider Name | Lynn Spillar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952457558 PECOS PAC ID: 5991778284 Enrollment ID: I20230207002374 |
| Provider Name | Malgorzata Witek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518088616 PECOS PAC ID: 7810086733 Enrollment ID: I20230209000439 |
| Provider Name | Raheel Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780137406 PECOS PAC ID: 5395093777 Enrollment ID: I20230227000048 |
| Provider Name | Christiana Chizoba Omamegbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255963823 PECOS PAC ID: 4789057449 Enrollment ID: I20230227002790 |
| Provider Name | William Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669197497 PECOS PAC ID: 7416321799 Enrollment ID: I20230328002576 |
| Provider Name | Sharon Karki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700371135 PECOS PAC ID: 3072865971 Enrollment ID: I20230712001529 |
| Provider Name | Gregory Dewyain Drummond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417657727 PECOS PAC ID: 7911102819 Enrollment ID: I20230920001855 |
| Provider Name | Amy Donahue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396235057 PECOS PAC ID: 2961853676 Enrollment ID: I20240108000436 |
| Provider Name | Jane Ellis Mclaughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659760072 PECOS PAC ID: 5496106973 Enrollment ID: I20240109002986 |
| Provider Name | Nina Nichole Beamish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679247829 PECOS PAC ID: 2163873522 Enrollment ID: I20240110001365 |
| Provider Name | Peggy Christina Gryder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699813238 PECOS PAC ID: 0345691606 Enrollment ID: I20240110005335 |
| Provider Name | Joshua Alexander Wile |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265153746 PECOS PAC ID: 5799136081 Enrollment ID: I20240111001300 |
| Provider Name | Michelle Tucker Renfrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093490591 PECOS PAC ID: 4688025984 Enrollment ID: I20240111001435 |
| Provider Name | Tarsha Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528472008 PECOS PAC ID: 2668823964 Enrollment ID: I20240111001515 |
| Provider Name | Andrew Infinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730954389 PECOS PAC ID: 4284085424 Enrollment ID: I20240111003256 |
| Provider Name | Chenetta Kirksey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235620972 PECOS PAC ID: 0547611709 Enrollment ID: I20240111004105 |
| Provider Name | Khandyce Nicole Pitner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265039127 PECOS PAC ID: 0446601637 Enrollment ID: I20240112000344 |
| Provider Name | Rosalyn Antonette Bowie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477298131 PECOS PAC ID: 3375995475 Enrollment ID: I20240113000242 |
| Provider Name | Debra Miller Crown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831367242 PECOS PAC ID: 4688026743 Enrollment ID: I20240115000838 |
| Provider Name | Krystal Nicole Nicodemus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952025587 PECOS PAC ID: 8022460013 Enrollment ID: I20240116000148 |
| Provider Name | Annette Morales-tymczak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467775478 PECOS PAC ID: 5799137790 Enrollment ID: I20240116000404 |
| Provider Name | Nikolaus D Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134508575 PECOS PAC ID: 1254783228 Enrollment ID: I20240116002399 |
| Provider Name | Julie Kendall Delafield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417665357 PECOS PAC ID: 2062864622 Enrollment ID: I20240118003745 |
| Provider Name | Alesa Machelle Champion-young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396308664 PECOS PAC ID: 3678925252 Enrollment ID: I20240118004584 |
| Provider Name | Kimberly Sue Osterhout - Arcos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487295622 PECOS PAC ID: 4486006608 Enrollment ID: I20240123003331 |
| Provider Name | Matthew Leif Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689124430 PECOS PAC ID: 4688027758 Enrollment ID: I20240125002201 |
| Provider Name | Olatimbo Rebeccah Aladeloye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780372128 PECOS PAC ID: 7618320052 Enrollment ID: I20240201001047 |
| Provider Name | Mandy Jay Goerger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134879117 PECOS PAC ID: 1658724992 Enrollment ID: I20240202000177 |
| Provider Name | Barbara Ann Buchanan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144869181 PECOS PAC ID: 0648613901 Enrollment ID: I20240205000383 |
| Provider Name | Ezenwanyi Gift Efuribe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124700315 PECOS PAC ID: 2961845094 Enrollment ID: I20240206002541 |
| Provider Name | Mamoona Khan Hassan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598906331 PECOS PAC ID: 6608219407 Enrollment ID: I20240208002874 |
Behavioral Health Assessments Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Glasgow Ln, Allen, TX 75013 Phone: 800-207-1592 | |
Reece Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 550 S Watters Rd Ste 136, Allen, TX 75013 Phone: 945-253-5195 Fax: 469-713-2432 | |
Thompson Counseling And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 N Greenville Ave Ste 310, Allen, TX 75002 Phone: 972-679-2167 | |
American Healthcare Holdings Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S Jupiter Rd Ste 150, Allen, TX 75002 Phone: 469-543-7674 Fax: 469-991-6777 | |
Penny 4 Your Thoughts Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 S Watters Rd Ste 230, Allen, TX 75013 Phone: 214-415-0178 | |
Upswing Psychiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 22 Prestige Circle, Suite 300, Allen, TX 75002 Phone: 214-383-3200 Fax: 214-383-3211 | |
Great Pathways Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 W Mcdermott Dr Ste 200, Allen, TX 75013 Phone: 469-564-4211 Fax: 469-242-9719 |