| Psychiatric Services Of Houston And Associates I, Pllc | |
|
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
| (713) 850-0049 | |
| (713) 627-7302 |
| Full Name | Psychiatric Services Of Houston And Associates I, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4635 Southwest Fwy Ste 635, Houston, Texas |
| Authorized Official Name and Position | Randall J. Frapart (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7138500049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services Of Houston And Associates I, Pllc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Psychiatric Services Of Houston And Associates I, Pllc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
| NPI Number | 1487940599 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 4486827391 |
|---|---|
| Medicare Enrollment ID | O20111109000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487940599 | NPI | - | NPPES |
| 288310002 | Medicaid | TX | |
| DS3806 | Other | TX | RR MCR |
| 288310003 | Medicaid | TX | |
| 288310005 | Medicaid | TX | |
| 0097WY | Other | TX | BCBS TX |
| 288310001 | Medicaid | TX | |
| 288310004 | Medicaid | TX |
| Provider Name | Tayfun Karakoc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265487904 PECOS PAC ID: 3577525963 Enrollment ID: I20041028000437 |
| Provider Name | Daylon Douglas Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942696398 PECOS PAC ID: 8224346127 Enrollment ID: I20150925001504 |
| Provider Name | Julia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760617773 PECOS PAC ID: 2567619950 Enrollment ID: I20160920001217 |
| Provider Name | Terri Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770035966 PECOS PAC ID: 8527340637 Enrollment ID: I20170126000046 |
| Provider Name | Angela Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780127738 PECOS PAC ID: 5395027122 Enrollment ID: I20170131000956 |
| Provider Name | Abiola Atobatele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164971453 PECOS PAC ID: 0749550606 Enrollment ID: I20170725004036 |
| Provider Name | Olufunmilola Kehinde Atandeyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376774091 PECOS PAC ID: 9739235227 Enrollment ID: I20180214000261 |
| Provider Name | Chasity Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518422948 PECOS PAC ID: 9133469513 Enrollment ID: I20190321001375 |
| Provider Name | Vidah Np Ezeoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700480829 PECOS PAC ID: 4284036328 Enrollment ID: I20210712002232 |
| Provider Name | Cheryl Np Spell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447808373 PECOS PAC ID: 6204263890 Enrollment ID: I20211105001501 |
| Provider Name | Chineye Blessing Aghado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164089298 PECOS PAC ID: 9638553282 Enrollment ID: I20220830004367 |
| Provider Name | Alisha K Prevost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356951149 PECOS PAC ID: 9537545421 Enrollment ID: I20220929002313 |
| Provider Name | Elisha A Calcote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770202004 PECOS PAC ID: 6709247224 Enrollment ID: I20230801001190 |
| Provider Name | Melody L Claiborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265741409 PECOS PAC ID: 7416305586 Enrollment ID: I20231129003926 |
| Provider Name | Victoria Aaron-chukwunyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124721600 PECOS PAC ID: 7416396056 Enrollment ID: I20240416002395 |
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