| Mind Vibe Pc | |
|
7777 Southwest Fwy Ste 934 Houston TX 77074-1813 | |
| (713) 714-4968 | |
| Not Available |
| Full Name | Mind Vibe Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7777 Southwest Fwy Ste 934, Houston, Texas |
| Authorized Official Name and Position | Jose Feliberti (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7137144968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Vibe Pc 7777 Southwest Fwy Ste 190 Houston TX 77074-1802 Ph: (713) 714-4968 | Mind Vibe Pc 7777 Southwest Fwy Ste 934 Houston TX 77074-1813 Ph: (713) 714-4968 |
| NPI Number | 1538933080 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 1153842760 |
|---|---|
| Medicare Enrollment ID | O20250311001871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538933080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Craig Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447512843 PECOS PAC ID: 9638334972 Enrollment ID: I20120711000415 |
| Provider Name | Daniella Gavito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003343518 PECOS PAC ID: 3375882897 Enrollment ID: I20190228000503 |
| Provider Name | Alice Kebeumen Jamen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780301077 PECOS PAC ID: 0840665402 Enrollment ID: I20230412002746 |
| Provider Name | Jose Feliberti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477948677 PECOS PAC ID: 2264841014 Enrollment ID: I20250314001940 |
| Provider Name | Leisa King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114762374 PECOS PAC ID: 0446773634 Enrollment ID: I20250328000460 |
| Provider Name | Clede Kemayu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063155018 PECOS PAC ID: 9335662535 Enrollment ID: I20250328000904 |
| Provider Name | Kimberly Anne Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619041803 PECOS PAC ID: 9638189442 Enrollment ID: I20250415000879 |
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