| Psychological Consultants Of The Brazos Valley Pa | |
|
2400 Broadmoor Dr Ste C Bryan TX 77802 | |
| (979) 774-9255 | |
| (979) 774-9299 |
| Full Name | Psychological Consultants Of The Brazos Valley Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2400 Broadmoor Dr, Bryan, Texas |
| Authorized Official Name and Position | Bradley D Powell (DIIRECTOR OWNER) |
| Authorized Official Contact | 9797749255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consultants Of The Brazos Valley Pa 2400 Broadmoor Dr Ste C Bryan TX 77802 Ph: (979) 774-9255 | Psychological Consultants Of The Brazos Valley Pa 2400 Broadmoor Dr Ste C Bryan TX 77802 Ph: (979) 774-9255 |
| NPI Number | 1306819511 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931170727 |
|---|---|
| Medicare Enrollment ID | O20040804001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306819511 | NPI | - | NPPES |
| 0064LM | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 32062 (Texas) | Primary |
| Provider Name | Bradley D Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699805929 PECOS PAC ID: 3971589474 Enrollment ID: I20040625000588 |
Jennifer L. Rockett, Ph.d. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2402 Broadmoor Dr, Building Dii Suite 111, Bryan, TX 77802 Phone: 979-450-5320 Fax: 979-713-1245 | |
Pure Mind Works, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 W 17th St, Bryan, TX 77803 Phone: 979-739-4269 | |
Brazos Valley Mental Health And Wellness, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2554 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-777-1683 | |
Cra Professional Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sandia Plz, Bryan, TX 77802 Phone: 903-388-6781 | |
Empower Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3841 Sagebriar Dr, Bryan, TX 77802 Phone: 979-985-9503 | |
Brazos Valley Psychological Services Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 704b E 29th St, Bryan, TX 77803 Phone: 979-574-8801 Fax: 979-775-9079 | |
Comprehensive Healthcare Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E, Suite 415, Bryan, TX 77802 Phone: 979-776-0289 Fax: 979-774-9770 |