| Integral Care | |
|
1430 Collier St Austin TX 78704-2911 | |
| (512) 472-4357 | |
| (512) 703-1394 |
| Full Name | Integral Care |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1430 Collier St, Austin, Texas |
| Authorized Official Name and Position | Ziyad B. Nuwayhid (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5124474141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Care 1430 Collier St Austin TX 78704-2911 Ph: (512) 447-4141 | Integral Care 1430 Collier St Austin TX 78704-2911 Ph: (512) 472-4357 |
| NPI Number | 1750337259 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 9133016306 |
|---|---|
| Medicare Enrollment ID | O20040305000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750337259 | NPI | - | NPPES |
| 017413801 | Other | TX | ECI CM |
| 1335424-01 | Other | TX | MR SC |
| 1335242-02 | Other | TX | MH CM |
| 00P336 | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 1335424-04 | Other | TX | MH REHAB |
| 133542405 | Medicaid | TX |
| Provider Name | Asif M Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407975584 PECOS PAC ID: 9133119852 Enrollment ID: I20040514000776 |
| Provider Name | Jo Ann Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598879504 PECOS PAC ID: 5698754703 Enrollment ID: I20040714000235 |
| Provider Name | Pamela J Petersen-crair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023127271 PECOS PAC ID: 8820004278 Enrollment ID: I20060222000831 |
| Provider Name | Carlos F. Tirado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255388203 PECOS PAC ID: 7113920406 Enrollment ID: I20060804000177 |
| Provider Name | Ismat N Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790791325 PECOS PAC ID: 9638170913 Enrollment ID: I20070130000175 |
| Provider Name | Renu M Anupindi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992896047 PECOS PAC ID: 6608971700 Enrollment ID: I20070418000488 |
| Provider Name | Howard Leftin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295748184 PECOS PAC ID: 0941397194 Enrollment ID: I20071109000242 |
| 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 | Russell Warren Bach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245336544 PECOS PAC ID: 7911908173 Enrollment ID: I20080418000479 |
| Provider Name | Norma Linda Naghaviani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346228137 PECOS PAC ID: 0244394005 Enrollment ID: I20090123000177 |
| Provider Name | Emily R Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093971996 PECOS PAC ID: 1759448228 Enrollment ID: I20090327000180 |
| Provider Name | Craig B Franke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265648992 PECOS PAC ID: 5890847263 Enrollment ID: I20090715000559 |
| Provider Name | Curtis G Laurence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669663118 PECOS PAC ID: 8628123528 Enrollment ID: I20090828000124 |
| Provider Name | Claire Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902056641 PECOS PAC ID: 5092854331 Enrollment ID: I20091130000500 |
| Provider Name | Tracey a Chance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184899239 PECOS PAC ID: 4981747060 Enrollment ID: I20100211000753 |
| Provider Name | David S Schlager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710918206 PECOS PAC ID: 6305937939 Enrollment ID: I20100318000053 |
| Provider Name | Theresa Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578693784 PECOS PAC ID: 5395938278 Enrollment ID: I20101023000237 |
| Provider Name | James G Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487650156 PECOS PAC ID: 4880690429 Enrollment ID: I20101215001049 |
| Provider Name | Feroza B Talukdar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881775369 PECOS PAC ID: 8628257300 Enrollment ID: I20110127000085 |
| Provider Name | Ava M. Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013023696 PECOS PAC ID: 4587843024 Enrollment ID: I20110128000996 |
| Provider Name | Alisha J Roff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306807953 PECOS PAC ID: 5890979900 Enrollment ID: I20110414000596 |
| Provider Name | Jacqueline Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215233242 PECOS PAC ID: 3577747559 Enrollment ID: I20110415000595 |
| Provider Name | Sara Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073768248 PECOS PAC ID: 5294911608 Enrollment ID: I20110519000725 |
| Provider Name | Samuel Collier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508064114 PECOS PAC ID: 9830229202 Enrollment ID: I20110926000410 |
| Provider Name | Veena Ghai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184687683 PECOS PAC ID: 2264692383 Enrollment ID: I20120328000289 |
| Provider Name | Megan Anderson Hurlbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043566193 PECOS PAC ID: 0143477646 Enrollment ID: I20120905000316 |
| Provider Name | Roger G Joe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755070 PECOS PAC ID: 6103090683 Enrollment ID: I20121001000431 |
| Provider Name | Karley Y Little |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467553198 PECOS PAC ID: 4082612023 Enrollment ID: I20121017000629 |
| Provider Name | Amneh Amro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457794869 PECOS PAC ID: 5597906958 Enrollment ID: I20130726000549 |
| Provider Name | Joshua Ende |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992970511 PECOS PAC ID: 1850575978 Enrollment ID: I20130823000080 |
| Provider Name | Kellye Singletary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063433324 PECOS PAC ID: 5698918480 Enrollment ID: I20130829000722 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20131104001245 |
| Provider Name | Harvey B. Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649612243 PECOS PAC ID: 7012142771 Enrollment ID: I20131105000800 |
| Provider Name | Naim a Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972605152 PECOS PAC ID: 8628058823 Enrollment ID: I20131213000013 |
| Provider Name | Linesse Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20140402000550 |
| Provider Name | Kristin V Valderas-escamilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811121668 PECOS PAC ID: 9032332580 Enrollment ID: I20140602001113 |
| Provider Name | Elizabeth Levy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982609400 PECOS PAC ID: 8325265507 Enrollment ID: I20140821001392 |
| Provider Name | April Marie Guajardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841535887 PECOS PAC ID: 4789802836 Enrollment ID: I20140902001853 |
| Provider Name | Lauren K Quinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750793030 PECOS PAC ID: 4183844632 Enrollment ID: I20141003000858 |
| Provider Name | Lindsey Warren Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699175984 PECOS PAC ID: 4587986146 Enrollment ID: I20141210000517 |
| Provider Name | Theresa D Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20150224001338 |
| Provider Name | Natalia Kazakevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
| Provider Name | Shane Patrick Mckay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669765475 PECOS PAC ID: 7315252889 Enrollment ID: I20150812007723 |
| Provider Name | Stephanie V Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215297221 PECOS PAC ID: 0042526683 Enrollment ID: I20150827002465 |
| Provider Name | Richard G Key |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750438644 PECOS PAC ID: 0547438384 Enrollment ID: I20151001000313 |
| Provider Name | John Michael Kenny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750449732 PECOS PAC ID: 9739102716 Enrollment ID: I20151217000691 |
| Provider Name | Stacy Linette Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255451068 PECOS PAC ID: 3870898059 Enrollment ID: I20160225002029 |
| Provider Name | Nicolas D Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023243995 PECOS PAC ID: 9032387576 Enrollment ID: I20160330001073 |
| Provider Name | Naomi Ebere Tiku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396929857 PECOS PAC ID: 1355632662 Enrollment ID: I20160616001410 |
| Provider Name | Mercelline Shabola Mugalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316222417 PECOS PAC ID: 3375704836 Enrollment ID: I20160627002354 |
| Provider Name | Patricia Oviedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306296033 PECOS PAC ID: 1052605342 Enrollment ID: I20160809002847 |
| Provider Name | Felix Aron Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902073216 PECOS PAC ID: 2163672684 Enrollment ID: I20160811002590 |
| Provider Name | Erika June Canales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508226705 PECOS PAC ID: 2769777176 Enrollment ID: I20160824002325 |
| Provider Name | Sherrie Lynn Margiotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854620 PECOS PAC ID: 4486941895 Enrollment ID: I20160929000534 |
| Provider Name | Dawn Louise Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942751359 PECOS PAC ID: 4082993050 Enrollment ID: I20161115000528 |
| Provider Name | Denise Tengan Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639625049 PECOS PAC ID: 4981983962 Enrollment ID: I20161115000966 |
| Provider Name | Michele Marie Pierson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841468667 PECOS PAC ID: 6901185941 Enrollment ID: I20161116001006 |
| Provider Name | Biren P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932543311 PECOS PAC ID: 8729368477 Enrollment ID: I20161215000175 |
| Provider Name | Gina Kim in |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861759672 PECOS PAC ID: 1658652938 Enrollment ID: I20161228000795 |
| Provider Name | Long H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619138468 PECOS PAC ID: 4587951439 Enrollment ID: I20170104002127 |
| Provider Name | Marquita M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346785565 PECOS PAC ID: 4587947908 Enrollment ID: I20170209001579 |
| Provider Name | Bayo Olaoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205388337 PECOS PAC ID: 2163500471 Enrollment ID: I20170313001665 |
| 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 | Lauren D Laporta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568438471 PECOS PAC ID: 6507031556 Enrollment ID: I20170807001427 |
| Provider Name | Jorge Almeida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558709170 PECOS PAC ID: 0143522821 Enrollment ID: I20171003004490 |
| Provider Name | Sara B Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154844165 PECOS PAC ID: 3476829854 Enrollment ID: I20171031000422 |
| Provider Name | Mayra Elizabeth Robles-alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881938983 PECOS PAC ID: 8325305766 Enrollment ID: I20171120003056 |
| Provider Name | Roxanne Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922244904 PECOS PAC ID: 5092072470 Enrollment ID: I20171121001182 |
| Provider Name | Asif Rashid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417012097 PECOS PAC ID: 1759489149 Enrollment ID: I20171122002189 |
| Provider Name | Christopher Roubieu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053865907 PECOS PAC ID: 3476810995 Enrollment ID: I20171207002716 |
| Provider Name | Vijay Rayalu Gorrepati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437413937 PECOS PAC ID: 8123321940 Enrollment ID: I20171227000301 |
| Provider Name | Susan Zink |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174843510 PECOS PAC ID: 5092993824 Enrollment ID: I20180117001120 |
| Provider Name | Yaminiben I Bhakta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790290070 PECOS PAC ID: 8527320845 Enrollment ID: I20180327001288 |
| Provider Name | Terra Nessia Sevier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922501675 PECOS PAC ID: 9133483753 Enrollment ID: I20180508001263 |
| Provider Name | Analisa Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598195224 PECOS PAC ID: 5294090155 Enrollment ID: I20180523001937 |
| Provider Name | Vincent Erick Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053809665 PECOS PAC ID: 6406111095 Enrollment ID: I20180601000129 |
| Provider Name | Ziyad Bahij Nuwayhid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760741441 PECOS PAC ID: 2062700024 Enrollment ID: I20180618000400 |
| 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 | Ashley Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972021673 PECOS PAC ID: 6204183130 Enrollment ID: I20180723003125 |
| Provider Name | Eliza Karwowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861810384 PECOS PAC ID: 4789934860 Enrollment ID: I20180911002962 |
| Provider Name | Elisa Yvette Hilario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172898 PECOS PAC ID: 8527318617 Enrollment ID: I20180911003258 |
| Provider Name | Michelle Lynn Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215319769 PECOS PAC ID: 2365794674 Enrollment ID: I20181016000919 |
| Provider Name | Cordelia M Odunayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306325790 PECOS PAC ID: 7719239854 Enrollment ID: I20181017003058 |
| Provider Name | Elizabeth Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558843771 PECOS PAC ID: 7012261100 Enrollment ID: I20181107003506 |
| Provider Name | Linda Adanna Osuji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619457231 PECOS PAC ID: 5496009441 Enrollment ID: I20181112000517 |
| Provider Name | Andre Jawann Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023162559 PECOS PAC ID: 6406917285 Enrollment ID: I20181219002884 |
| Provider Name | Babatunde F Fagbamiye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1467551531 PECOS PAC ID: 7012904576 Enrollment ID: I20190314002253 |
| Provider Name | Kellie R Wylie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295293942 PECOS PAC ID: 8729320874 Enrollment ID: I20190422001236 |
| Provider Name | Robin Remsing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962814525 PECOS PAC ID: 0840532701 Enrollment ID: I20190425002326 |
| Provider Name | Richard Morris Pino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275091050 PECOS PAC ID: 5799028742 Enrollment ID: I20190515001860 |
| Provider Name | David Spelber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447646898 PECOS PAC ID: 5991071169 Enrollment ID: I20190605000654 |
| Provider Name | Lilian N Yamoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902460157 PECOS PAC ID: 3375879810 Enrollment ID: I20190722003320 |
| Provider Name | Amy P Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215582051 PECOS PAC ID: 1153652193 Enrollment ID: I20191007000844 |
| Provider Name | Komi Afangnon Kokou-abi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558910810 PECOS PAC ID: 4486985967 Enrollment ID: I20191015000477 |
| Provider Name | Stephen Christopher Morocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396304143 PECOS PAC ID: 2769714906 Enrollment ID: I20191021003205 |
| Provider Name | Caroline Hedenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265930382 PECOS PAC ID: 3274966056 Enrollment ID: I20191209002690 |
| Provider Name | Daniel Jon Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770065229 PECOS PAC ID: 7113350893 Enrollment ID: I20191211000652 |
| Provider Name | Ashley Renee Trust |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497165948 PECOS PAC ID: 6103113915 Enrollment ID: I20191211001984 |
| Provider Name | Abigail Banmbuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508400607 PECOS PAC ID: 6608200480 Enrollment ID: I20200103000489 |
| Provider Name | Kristin Laurel Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841839198 PECOS PAC ID: 3779913967 Enrollment ID: I20200501001257 |
| Provider Name | Judith Dogbe Sey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639700834 PECOS PAC ID: 9032540323 Enrollment ID: I20200521001101 |
| Provider Name | Emily Marie Hammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265061360 PECOS PAC ID: 9436570397 Enrollment ID: I20200601001278 |
| Provider Name | Claire R Selinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689932394 PECOS PAC ID: 7810275781 Enrollment ID: I20200610001920 |
| Provider Name | Christine Langner Bartow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346603735 PECOS PAC ID: 2567759038 Enrollment ID: I20200730001288 |
| Provider Name | Liam Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720599582 PECOS PAC ID: 5799103578 Enrollment ID: I20200910001134 |
| Provider Name | Ashley Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124640917 PECOS PAC ID: 3779901269 Enrollment ID: I20200923001622 |
| Provider Name | Chelsea N Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851904213 PECOS PAC ID: 8224449210 Enrollment ID: I20201123003393 |
| Provider Name | Laura Blakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346728854 PECOS PAC ID: 2567873599 Enrollment ID: I20201124001473 |
| Provider Name | Matthew David Piehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023629136 PECOS PAC ID: 1658785464 Enrollment ID: I20210205000769 |
| Provider Name | Tess Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306465752 PECOS PAC ID: 5496160434 Enrollment ID: I20210224002438 |
| Provider Name | Vincent Dominick Sirocchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356891592 PECOS PAC ID: 1052729993 Enrollment ID: I20210414001689 |
| Provider Name | Suzanna Christina Ramos-campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780259200 PECOS PAC ID: 0345644035 Enrollment ID: I20210803000430 |
| Provider Name | Katherine M Folse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760923007 PECOS PAC ID: 9830461797 Enrollment ID: I20210806002026 |
| Provider Name | Dorinda Gborie-minor Bey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740850502 PECOS PAC ID: 6507262029 Enrollment ID: I20210909000740 |
| Provider Name | Kelsey Marie Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366940041 PECOS PAC ID: 6800284555 Enrollment ID: I20211028002319 |
| Provider Name | Kathryn Bruce Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417582891 PECOS PAC ID: 2668860164 Enrollment ID: I20211103001086 |
| Provider Name | Kristi Lyn Aiello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912676867 PECOS PAC ID: 2769871029 Enrollment ID: I20211109000170 |
| Provider Name | Jennifer Leigh Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366107674 PECOS PAC ID: 3779974704 Enrollment ID: I20211229000980 |
| Provider Name | Ugochi Rufus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518545409 PECOS PAC ID: 7517359730 Enrollment ID: I20220120002525 |
| Provider Name | Kathy R Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144995887 PECOS PAC ID: 5092108084 Enrollment ID: I20220216000764 |
| Provider Name | William Edward Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265782841 PECOS PAC ID: 1850785676 Enrollment ID: I20220222000032 |
| Provider Name | Patricia Uadiale Okhuozagbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568127009 PECOS PAC ID: 1355592205 Enrollment ID: I20220223000637 |
| Provider Name | Emily Jean Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538827209 PECOS PAC ID: 4284028366 Enrollment ID: I20220307001767 |
| Provider Name | Katherine Eileen Hyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417526492 PECOS PAC ID: 4981098993 Enrollment ID: I20220308000393 |
| Provider Name | Ashley Ryan Shute |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972990620 PECOS PAC ID: 4688069222 Enrollment ID: I20220318000331 |
| Provider Name | Lief Ericsson Fenno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710349311 PECOS PAC ID: 0840612602 Enrollment ID: I20220414001931 |
| Provider Name | Wendy Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568117794 PECOS PAC ID: 3072900083 Enrollment ID: I20220421001379 |
| Provider Name | Zhaoxin Wu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184367278 PECOS PAC ID: 1456738939 Enrollment ID: I20220523002037 |
| Provider Name | Silva Marinez Hamner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043966211 PECOS PAC ID: 5395123608 Enrollment ID: I20220527000555 |
| Provider Name | Irma Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952840027 PECOS PAC ID: 3678951860 Enrollment ID: I20220531001183 |
| Provider Name | Princess C Uzoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093457798 PECOS PAC ID: 3072992569 Enrollment ID: I20220613002206 |
| Provider Name | Lola Carena Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497498646 PECOS PAC ID: 6002295524 Enrollment ID: I20220614000184 |
| Provider Name | Dana M.C. Valdez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255793246 PECOS PAC ID: 4183952641 Enrollment ID: I20220614000408 |
| Provider Name | Kaci Marie Thomas |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245769223 PECOS PAC ID: 5799109534 Enrollment ID: I20220722002430 |
| Provider Name | Carly Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415870 PECOS PAC ID: 6305228164 Enrollment ID: I20220727000759 |
| Provider Name | Jason Michael Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194461780 PECOS PAC ID: 3870976947 Enrollment ID: I20220823001468 |
| Provider Name | Brian Christopher Nahas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124361043 PECOS PAC ID: 9739563180 Enrollment ID: I20220902000057 |
| Provider Name | Esther Faith Fires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952059958 PECOS PAC ID: 0143606020 Enrollment ID: I20220929002017 |
| Provider Name | Mark Townsend |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497778351 PECOS PAC ID: 0244423408 Enrollment ID: I20221121000069 |
| Provider Name | Tashiana Marie Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033836846 PECOS PAC ID: 6507236635 Enrollment ID: I20230105001076 |
| Provider Name | Cynthia Kuan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053081869 PECOS PAC ID: 0143691998 Enrollment ID: I20230114000049 |
| Provider Name | Danielle M Duplechain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497472203 PECOS PAC ID: 0446621197 Enrollment ID: I20230117002923 |
| Provider Name | Katherine Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023727591 PECOS PAC ID: 9133590573 Enrollment ID: I20230124000418 |
| Provider Name | Eric J Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760913479 PECOS PAC ID: 1850763830 Enrollment ID: I20230221002377 |
| Provider Name | Nicole M Murman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164132254 PECOS PAC ID: 0042683567 Enrollment ID: I20230303001719 |
| Provider Name | Caanan Lee Blakemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265147847 PECOS PAC ID: 4385074251 Enrollment ID: I20230524001468 |
| Provider Name | Emily Versoza Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770293896 PECOS PAC ID: 9931567880 Enrollment ID: I20230625000061 |
| Provider Name | Marilyn Nicole Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124610605 PECOS PAC ID: 3577921451 Enrollment ID: I20230626000729 |
| Provider Name | Sumre Michelle Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760823926 PECOS PAC ID: 1557723731 Enrollment ID: I20230821001389 |
| Provider Name | Jarred Eugene Wellington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548954316 PECOS PAC ID: 0143684290 Enrollment ID: I20230908000172 |
| Provider Name | Amanda B Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356125926 PECOS PAC ID: 0547614190 Enrollment ID: I20230929002633 |
| Provider Name | Josie R Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568037422 PECOS PAC ID: 0042665036 Enrollment ID: I20231011001948 |
| Provider Name | Andrea Bickley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104605096 PECOS PAC ID: 9830546167 Enrollment ID: I20231108002400 |
| Provider Name | Amanda Margarita Segura |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558571935 PECOS PAC ID: 2163871658 Enrollment ID: I20231208002451 |
| Provider Name | Dominique M Agypt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780108050 PECOS PAC ID: 8022420033 Enrollment ID: I20231212002456 |
| Provider Name | Ayan R Octave |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659051282 PECOS PAC ID: 4880043793 Enrollment ID: I20231218000236 |
| Provider Name | James Jackson Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427346717 PECOS PAC ID: 8123478351 Enrollment ID: I20231229000903 |
| Provider Name | Alicia N. Kaveney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346706710 PECOS PAC ID: 1153772959 Enrollment ID: I20240105001724 |
| Provider Name | Blanca E. Hinojosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548758105 PECOS PAC ID: 6002267812 Enrollment ID: I20240105002029 |
| Provider Name | Sawyer E. Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255074308 PECOS PAC ID: 3476904111 Enrollment ID: I20240108003466 |
| Provider Name | Bethany M Sirevicius |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629485693 PECOS PAC ID: 3173974789 Enrollment ID: I20240109000097 |
| Provider Name | Aristia Q Mosley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932721297 PECOS PAC ID: 5395197784 Enrollment ID: I20240122002803 |
| Provider Name | Ingrid Michelle Perdigon Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902313067 PECOS PAC ID: 9436592037 Enrollment ID: I20240212000906 |
| Provider Name | Erik J Pajula |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760126387 PECOS PAC ID: 6901249440 Enrollment ID: I20240212002209 |
| Provider Name | Marissa L Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811669286 PECOS PAC ID: 3678916111 Enrollment ID: I20240212002427 |
| Provider Name | Michael Glen Laster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528404654 PECOS PAC ID: 0840633301 Enrollment ID: I20240212002822 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225339070 PECOS PAC ID: 5294178778 Enrollment ID: I20240212003614 |
| Provider Name | Molly E Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518600543 PECOS PAC ID: 0143663633 Enrollment ID: I20240212003815 |
| Provider Name | Olivia Darlene Estrada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275982753 PECOS PAC ID: 3779926266 Enrollment ID: I20240212003848 |
| Provider Name | Robin M. Hendershot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861839474 PECOS PAC ID: 9032552526 Enrollment ID: I20240212003865 |
| Provider Name | Beau J Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922680370 PECOS PAC ID: 3274976766 Enrollment ID: I20240212003986 |
| Provider Name | Eva Dolores Sloan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831540319 PECOS PAC ID: 5890138382 Enrollment ID: I20240212004081 |
| Provider Name | Susan Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740604370 PECOS PAC ID: 0244673747 Enrollment ID: I20240212004154 |
| Provider Name | Laura a Briceno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326700378 PECOS PAC ID: 1355784851 Enrollment ID: I20240212004397 |
| Provider Name | Ryan a Mcdaniel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104259654 PECOS PAC ID: 7719320126 Enrollment ID: I20240213000325 |
| Provider Name | Heath B Newton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255766481 PECOS PAC ID: 6901249333 Enrollment ID: I20240213001102 |
| Provider Name | Latrice Renee Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316575871 PECOS PAC ID: 3476996851 Enrollment ID: I20240213003016 |
| Provider Name | Samantha Bond |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679022479 PECOS PAC ID: 4880038231 Enrollment ID: I20240214000922 |
| Provider Name | Adrienne E Linscomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245602085 PECOS PAC ID: 7315381613 Enrollment ID: I20240214002934 |
| Provider Name | Claudio Rene Cepeda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144430406 PECOS PAC ID: 5092159301 Enrollment ID: I20240214003167 |
| Provider Name | Lindsey R Brotsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659913515 PECOS PAC ID: 7113362260 Enrollment ID: I20240228001631 |
| Provider Name | Ariel M. Larre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013138940 PECOS PAC ID: 9335389592 Enrollment ID: I20240311004176 |
| Provider Name | Chad Michael Belt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659757912 PECOS PAC ID: 5193163442 Enrollment ID: I20240404003623 |
| Provider Name | Lucila Stephanie Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316414485 PECOS PAC ID: 3173961489 Enrollment ID: I20240405001464 |
| Provider Name | Cindy Gaucin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215638788 PECOS PAC ID: 6406294636 Enrollment ID: I20240405002397 |
| Provider Name | Laura Genevieve Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245008143 PECOS PAC ID: 9032558945 Enrollment ID: I20240411002253 |
| Provider Name | Mahaily E Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417719105 PECOS PAC ID: 6103265830 Enrollment ID: I20240415002094 |
| Provider Name | Jazmine Nicole Alanis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003556069 PECOS PAC ID: 2567801657 Enrollment ID: I20240423001156 |
| Provider Name | Cristina Acosta-guijarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508430778 PECOS PAC ID: 2668812561 Enrollment ID: I20240425001670 |
| Provider Name | Tina Zoe Hilliard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821031071 PECOS PAC ID: 6406297399 Enrollment ID: I20240509001143 |
| Provider Name | Rebecca Laufe Scheer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154910305 PECOS PAC ID: 9830631787 Enrollment ID: I20240606001395 |
| Provider Name | Bryan Ross Barksdale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750958302 PECOS PAC ID: 6204370539 Enrollment ID: I20240627003034 |
| Provider Name | Modesty Novin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477387132 PECOS PAC ID: 6507307790 Enrollment ID: I20240916000075 |
| Provider Name | Nicole Catherine Gregston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962678029 PECOS PAC ID: 2961933882 Enrollment ID: I20241002004051 |
| Provider Name | Gustavo Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104043371 PECOS PAC ID: 2163955154 Enrollment ID: I20241029004156 |
| Provider Name | Tuyet Elan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982346995 PECOS PAC ID: 5890133516 Enrollment ID: I20241031002187 |
| Provider Name | Jessica Ann Santos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386484228 PECOS PAC ID: 3870027501 Enrollment ID: I20241118000325 |
| Provider Name | Kirklin Rabb Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194462119 PECOS PAC ID: 8729518949 Enrollment ID: I20250203003591 |
| Provider Name | Nicole L James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851029524 PECOS PAC ID: 3476083585 Enrollment ID: I20250204003808 |
| Provider Name | Mateus S Madden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780302570 PECOS PAC ID: 8022548148 Enrollment ID: I20250205000119 |
| Provider Name | Marianna a Vanillo Enriquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407569650 PECOS PAC ID: 5991235772 Enrollment ID: I20250207003585 |
| Provider Name | Elizabeth Lien Paz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699584391 PECOS PAC ID: 3678003027 Enrollment ID: I20250213003888 |
| Provider Name | Isimenmen O Etakibuebu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679102883 PECOS PAC ID: 0446770846 Enrollment ID: I20250227002547 |
| Provider Name | Kathryn Marie Mettman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063889525 PECOS PAC ID: 1658688841 Enrollment ID: I20250305004028 |
| Provider Name | Madeline Claire Daboub Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124867304 PECOS PAC ID: 0244752525 Enrollment ID: I20250315000184 |
| Provider Name | Robert T Esterquest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194468645 PECOS PAC ID: 3072036888 Enrollment ID: I20250401003379 |
| Provider Name | Sara Key Luckenbill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396509709 PECOS PAC ID: 9739604455 Enrollment ID: I20250415003276 |
| Provider Name | Hannah Michael Ice Cook Callahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689471252 PECOS PAC ID: 2365968062 Enrollment ID: I20250425000235 |
| Provider Name | Lana Lee Zuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851109409 PECOS PAC ID: 9234655630 Enrollment ID: I20250429002038 |
| Provider Name | Tina M Minott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477379576 PECOS PAC ID: 6103342282 Enrollment ID: I20250501001875 |
| Provider Name | Melanie G Babbitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407564735 PECOS PAC ID: 1850818964 Enrollment ID: I20250512001541 |
| Provider Name | Lauren Marie Katzell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710670831 PECOS PAC ID: 8527587203 Enrollment ID: I20250527001147 |
| Provider Name | Yoland Moriah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811742869 PECOS PAC ID: 3476072943 Enrollment ID: I20250528001816 |
| Provider Name | Andrew Michael Weissmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831704048 PECOS PAC ID: 9234640186 Enrollment ID: I20250617002807 |
| Provider Name | Alexandria Nicole Knudsen-stacey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952100364 PECOS PAC ID: 4486166956 Enrollment ID: I20250623000217 |
| Provider Name | Diana Khoa Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699304568 PECOS PAC ID: 9739691544 Enrollment ID: I20250625003758 |
| Provider Name | Kathryne Elizabeth Pyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073157590 PECOS PAC ID: 2163935784 Enrollment ID: I20250627001234 |
| Provider Name | Marcus a Molina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295558112 PECOS PAC ID: 9537672985 Enrollment ID: I20250630002860 |
| Provider Name | Olubukola Ajayi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720887243 PECOS PAC ID: 2163936972 Enrollment ID: I20250703003060 |
| Provider Name | John G. Sudduth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235956236 PECOS PAC ID: 7719491414 Enrollment ID: I20250707000615 |
| Provider Name | Stacy Bierbauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922742048 PECOS PAC ID: 1951748144 Enrollment ID: I20250828003723 |
| Provider Name | Lindsay Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669178844 PECOS PAC ID: 8921509670 Enrollment ID: I20250903000488 |
| Provider Name | Alex Villarreal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770108581 PECOS PAC ID: 6709388572 Enrollment ID: I20250909002721 |
| Provider Name | April Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902697170 PECOS PAC ID: 3678075454 Enrollment ID: I20250909002794 |
| Provider Name | Jana Lyn Percer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861758757 PECOS PAC ID: 1355844150 Enrollment ID: I20250909003447 |
| Provider Name | Mackenzie Rachelle Millhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598651416 PECOS PAC ID: 9436652153 Enrollment ID: I20250910001459 |
| Provider Name | Katie M Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538741756 PECOS PAC ID: 1052814795 Enrollment ID: I20250910001955 |
| Provider Name | Scott Joseph Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497947592 PECOS PAC ID: 7517460173 Enrollment ID: I20250910004842 |
| Provider Name | Megan Villegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174343479 PECOS PAC ID: 2769987593 Enrollment ID: I20250923004482 |
| Provider Name | Matthew J Vitemb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669160057 PECOS PAC ID: 3779088497 Enrollment ID: I20250924002369 |
| Provider Name | Lacie Jordan Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255776761 PECOS PAC ID: 4082119649 Enrollment ID: I20250924003872 |
| Provider Name | Hannah Ballard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598271082 PECOS PAC ID: 4688170335 Enrollment ID: I20251001002206 |
| Provider Name | Regan Susanne Mougia Burkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184389926 PECOS PAC ID: 6608373733 Enrollment ID: I20251007001325 |
| Provider Name | Jessica Linnette Benavides |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437800281 PECOS PAC ID: 5395242317 Enrollment ID: I20251007002668 |
| Provider Name | John Borkovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124647854 PECOS PAC ID: 4183152325 Enrollment ID: I20251007003570 |
| Provider Name | Nikita Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225618515 PECOS PAC ID: 2163824525 Enrollment ID: I20251008000119 |
| Provider Name | Frank Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306728910 PECOS PAC ID: 6507363892 Enrollment ID: I20251010004014 |
| Provider Name | Alice F Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871234344 PECOS PAC ID: 3375031628 Enrollment ID: I20251020002490 |
| Provider Name | Katherine Velasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407744337 PECOS PAC ID: 5698264646 Enrollment ID: I20251029003990 |
| Provider Name | Ryan J Keech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194549022 PECOS PAC ID: 8224529862 Enrollment ID: I20251112001045 |
| Provider Name | Derrick Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275389470 PECOS PAC ID: 5991296303 Enrollment ID: I20251113002845 |
| Provider Name | Eric Ha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427671569 PECOS PAC ID: 8921539115 Enrollment ID: I20251211004372 |
| Provider Name | Gabrielle Lelia Bergeron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588442040 PECOS PAC ID: 7618461906 Enrollment ID: I20251215000474 |
| Provider Name | Jennifer Neely Coulthurst Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578877858 PECOS PAC ID: 3375022569 Enrollment ID: I20260209001329 |
| Provider Name | Mervin Camare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821963430 PECOS PAC ID: 1254810112 Enrollment ID: I20260210003424 |
| Provider Name | Steven Brodie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760025662 PECOS PAC ID: 9830546571 Enrollment ID: I20260225001323 |
| Provider Name | Shavaughn Carey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841741048 PECOS PAC ID: 1153686126 Enrollment ID: I20260225003935 |
| Provider Name | Sonia Denise Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801147244 PECOS PAC ID: 5698256527 Enrollment ID: I20260227002027 |
| Provider Name | Keerthi Vemulapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619613114 PECOS PAC ID: 1456834761 Enrollment ID: I20260316000549 |
| Provider Name | Nicholas Cahill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861037947 PECOS PAC ID: 6204201551 Enrollment ID: I20260402004222 |
| Provider Name | David Nathan Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164197448 PECOS PAC ID: 2264907591 Enrollment ID: I20260406000142 |
| Provider Name | Eva Asabeah Boateng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386595395 PECOS PAC ID: 7911473301 Enrollment ID: I20260414001257 |
| Provider Name | Christopher Paul Cadena |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457940801 PECOS PAC ID: 0042786162 Enrollment ID: I20260416001994 |
| Provider Name | Nichala L. Davidson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215351846 PECOS PAC ID: 5890266456 Enrollment ID: I20260604000563 |
| Provider Name | Jeremy S Weintraub |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346192234 PECOS PAC ID: 5698248086 Enrollment ID: I20260626001772 |
| Provider Name | Elizabeth Marie Turk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346114071 PECOS PAC ID: 3072086479 Enrollment ID: I20260626002225 |
Assessment Associates of Austin Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Bee Caves Rd., Austin, TX 78746 Phone: 512-328-2875 Fax: 512-328-1924 |
Develop Common Ground, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 |
Neurowellness PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 |
Fadya Albakry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg 7c, Austin, TX 78746 Phone: 512-589-5897 |
Juno Counseling PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 |
Compromiso Behavioral Health PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 |