| Mind Care Psychiatry Consultants, Pa | |
|
1900 Denver Ave El Paso TX 79902-3008 | |
| (915) 544-4000 | |
| (915) 544-8750 |
| Full Name | Mind Care Psychiatry Consultants, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 Denver Ave, El Paso, Texas |
| Authorized Official Name and Position | Goshawn Chawla (PRESIDENT) |
| Authorized Official Contact | 7739837127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Care Psychiatry Consultants, Pa 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Mind Care Psychiatry Consultants, Pa 1900 Denver Ave El Paso TX 79902-3008 Ph: (915) 544-4000 |
| NPI Number | 1306326210 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 8224389291 |
|---|---|
| Medicare Enrollment ID | O20181002000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306326210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | R8330 (Texas) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | R8330 (Texas) | Secondary |
| Provider Name | Nicholas J Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659742443 PECOS PAC ID: 6305147596 Enrollment ID: I20151211001943 |
| Provider Name | Goshawn Chawla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417277419 PECOS PAC ID: 3779891528 Enrollment ID: I20181002000446 |
| Provider Name | Melissa Joann Doctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414430 PECOS PAC ID: 1355775974 Enrollment ID: I20200107000838 |
| Provider Name | Loveleen Chawla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952941544 PECOS PAC ID: 7517393036 Enrollment ID: I20200131001987 |
| Provider Name | Rolando Andres Espino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528670734 PECOS PAC ID: 0244659019 Enrollment ID: I20200928001960 |
| Provider Name | Jacquelyne Kay Chumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457017030 PECOS PAC ID: 0547653396 Enrollment ID: I20220131001985 |
| Provider Name | Lauretta Ndidiamaka Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477859072 PECOS PAC ID: 6901290709 Enrollment ID: I20220221001222 |
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