| Senior Psychological Care Dallas I, Llc | |
|
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
| (713) 850-0049 | |
| (713) 627-7302 |
| Full Name | Senior Psychological Care Dallas I, Llc |
|---|---|
| Speciality | Psychologist |
| 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 |
|---|---|
| Senior Psychological Care Dallas I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychological Care Dallas I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
| NPI Number | 1649566795 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 3375717044 |
|---|---|
| Medicare Enrollment ID | O20111114000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649566795 | NPI | - | NPPES |
| 0012XB | Other | TX | BCBS TX |
| 287992603 | Medicaid | TX | |
| 287992601 | Medicaid | TX | |
| 287992602 | Medicaid | TX | |
| DS2658 | Other | TX | RR MCR HARRIS |
| Provider Name | Jalynn Hogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235244641 PECOS PAC ID: 5092798793 Enrollment ID: I20040612000639 |
| Provider Name | Donald Winsted |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679623318 PECOS PAC ID: 9234216094 Enrollment ID: I20080404000198 |
| Provider Name | Irma S Beltran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609042340 PECOS PAC ID: 2365582905 Enrollment ID: I20091212000107 |
| Provider Name | Elizabeth A Klepper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730484379 PECOS PAC ID: 2961681408 Enrollment ID: I20110128000978 |
| Provider Name | Tascha Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528145364 PECOS PAC ID: 0244418200 Enrollment ID: I20110622000735 |
| Provider Name | Jennifer Mountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275845752 PECOS PAC ID: 2567623473 Enrollment ID: I20120419000349 |
| Provider Name | Wesley Martin Ragle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184779662 PECOS PAC ID: 5092970905 Enrollment ID: I20120627000249 |
| Provider Name | Faye A. Reimers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508203126 PECOS PAC ID: 3375787070 Enrollment ID: I20130919000390 |
| Provider Name | Stephanie Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962851576 PECOS PAC ID: 6103111588 Enrollment ID: I20160824001393 |
| Provider Name | Jennifer Elizabeth Rawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417255423 PECOS PAC ID: 3971899592 Enrollment ID: I20160908001192 |
| Provider Name | Nancy Fay Craft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801291703 PECOS PAC ID: 3274804703 Enrollment ID: I20170802001313 |
| Provider Name | Nastassia Shanae Toomer Greer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720597461 PECOS PAC ID: 8820344252 Enrollment ID: I20180627001979 |
| Provider Name | Minta Gardyn Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972753366 PECOS PAC ID: 1254752207 Enrollment ID: I20200601000343 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548891047 PECOS PAC ID: 3072934827 Enrollment ID: I20200602002583 |
| Provider Name | Austin Micaiah Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538616982 PECOS PAC ID: 1052728748 Enrollment ID: I20210324002953 |
| Provider Name | Karen Todd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154649838 PECOS PAC ID: 8527476001 Enrollment ID: I20210422000123 |
| Provider Name | Devin Ray Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982194478 PECOS PAC ID: 6204237555 Enrollment ID: I20210624002043 |
| Provider Name | Elizabeth R Madrigal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386217362 PECOS PAC ID: 3476956822 Enrollment ID: I20210723000420 |
| Provider Name | Tina E Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275286494 PECOS PAC ID: 4587059282 Enrollment ID: I20220316000867 |
| Provider Name | Jaclyn Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942945746 PECOS PAC ID: 1658758206 Enrollment ID: I20220519002025 |
| Provider Name | Joseph Lee Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558016857 PECOS PAC ID: 4981082682 Enrollment ID: I20220609000224 |
| Provider Name | Shandreka Shanae Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376284034 PECOS PAC ID: 1557738366 Enrollment ID: I20221108002786 |
| Provider Name | Cammie Richard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265140750 PECOS PAC ID: 3274902481 Enrollment ID: I20221210000265 |
| Provider Name | Crystal Crabb-mcmikel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477858595 PECOS PAC ID: 9133487226 Enrollment ID: I20230721001820 |
| Provider Name | Melinda Kay Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861784787 PECOS PAC ID: 3870953847 Enrollment ID: I20230721003063 |
| Provider Name | Neva Deschner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740964782 PECOS PAC ID: 7517328198 Enrollment ID: I20230728002201 |
| Provider Name | Regina Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801533492 PECOS PAC ID: 2365804754 Enrollment ID: I20230817000039 |
| Provider Name | Monica Terpening |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376234658 PECOS PAC ID: 5193179760 Enrollment ID: I20230930000186 |
| Provider Name | Venieca Kusek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124806336 PECOS PAC ID: 8820443237 Enrollment ID: I20231004002537 |
| Provider Name | Janice Halstead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265542831 PECOS PAC ID: 4082935796 Enrollment ID: I20231011001778 |
| Provider Name | Jennifer De'shae Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922873926 PECOS PAC ID: 5294184412 Enrollment ID: I20231213003788 |
| Provider Name | Amy Donahue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396235057 PECOS PAC ID: 2961853676 Enrollment ID: I20240108000436 |
| Provider Name | Cinda Renee Breazeale |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346824596 PECOS PAC ID: 1355793183 Enrollment ID: I20240117003723 |
| Provider Name | Patricia J Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831608280 PECOS PAC ID: 8729430384 Enrollment ID: I20240118003628 |
| Provider Name | Shalonda Kay Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568922011 PECOS PAC ID: 7214380773 Enrollment ID: I20240131003327 |
| Provider Name | Deborah Sue Marlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861582538 PECOS PAC ID: 1759728421 Enrollment ID: I20240318003075 |
| Provider Name | Todd Charles Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326786393 PECOS PAC ID: 1759728751 Enrollment ID: I20240326003804 |
| Provider Name | Jeffrey Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639698350 PECOS PAC ID: 3375980287 Enrollment ID: I20240327000185 |
| Provider Name | Lori L Downs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063939502 PECOS PAC ID: 9032558556 Enrollment ID: I20240417001345 |
| Provider Name | Kaci Shepherd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104062447 PECOS PAC ID: 0648610287 Enrollment ID: I20240430003700 |
| Provider Name | Erica Lynn Lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699476812 PECOS PAC ID: 6406297027 Enrollment ID: I20240514003207 |
| Provider Name | Maudlyn Maudrian Howell-nwaogwugwu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053563098 PECOS PAC ID: 1052853231 Enrollment ID: I20240603003013 |
| Provider Name | Laura Ann Auldridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518505593 PECOS PAC ID: 3779979844 Enrollment ID: I20240614000267 |
| Provider Name | Naria Jamerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669213591 PECOS PAC ID: 4284177312 Enrollment ID: I20240618001583 |
| Provider Name | Amy Michelle Archuleta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215779046 PECOS PAC ID: 8325581168 Enrollment ID: I20240620002907 |
| Provider Name | Korinne Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184967176 PECOS PAC ID: 7719422146 Enrollment ID: I20240710002542 |
| Provider Name | Daniel Evan Collier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841867165 PECOS PAC ID: 7517310816 Enrollment ID: I20240813000656 |
| Provider Name | Lisa Marie Landen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780456830 PECOS PAC ID: 2961943139 Enrollment ID: I20240916002952 |
| Provider Name | Delisa Christine Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821853904 PECOS PAC ID: 8628509148 Enrollment ID: I20241008000799 |
| Provider Name | Morgan Tyler Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912659830 PECOS PAC ID: 9931631751 Enrollment ID: I20241018000107 |
| Provider Name | Dolori Jean Troutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346607405 PECOS PAC ID: 1456884501 Enrollment ID: I20241028001890 |
| Provider Name | Cassidy Anne Hlavaty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730867383 PECOS PAC ID: 4587198486 Enrollment ID: I20241114003478 |
| Provider Name | Kristi Ann Lemmert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104293760 PECOS PAC ID: 8022426931 Enrollment ID: I20241115004103 |
| Provider Name | Nicole Leona Sallee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003447236 PECOS PAC ID: 5890220024 Enrollment ID: I20241126000124 |
| Provider Name | Jennifer Cuyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265972194 PECOS PAC ID: 7810422607 Enrollment ID: I20241203003211 |
| Provider Name | Ean Vincenzo Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003861683 PECOS PAC ID: 6709312143 Enrollment ID: I20241210000333 |
| Provider Name | Kayla Rose Gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417773706 PECOS PAC ID: 3779010459 Enrollment ID: I20241218004198 |
| Provider Name | Anthony David Frazier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861200719 PECOS PAC ID: 6901334994 Enrollment ID: I20250103001113 |
| Provider Name | Kristen Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962210724 PECOS PAC ID: 2668902339 Enrollment ID: I20250211000644 |
| Provider Name | Sibyl Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538753694 PECOS PAC ID: 0840711107 Enrollment ID: I20250304001262 |
| Provider Name | Kiandra Daniels |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447962816 PECOS PAC ID: 3577084771 Enrollment ID: I20250304002958 |
| Provider Name | Zaineb Hassan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952189664 PECOS PAC ID: 7911429089 Enrollment ID: I20250318001989 |
| Provider Name | Helen Marie Demore-callejas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972312213 PECOS PAC ID: 9931623675 Enrollment ID: I20250403002513 |
| Provider Name | Michele F Bowerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437935046 PECOS PAC ID: 8729502695 Enrollment ID: I20250412000103 |
| Provider Name | Mehle Erin Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033649207 PECOS PAC ID: 1759800790 Enrollment ID: I20250522002418 |
| Provider Name | Leslie Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629860226 PECOS PAC ID: 3375052251 Enrollment ID: I20250602003473 |
| Provider Name | Sierra Brianne Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093254237 PECOS PAC ID: 6103335641 Enrollment ID: I20250604004032 |
| Provider Name | Trinity Shalom Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467225060 PECOS PAC ID: 7618487505 Enrollment ID: I20250610001985 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Johnson & Daughters, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9009 Boone Rd, Houston, TX 77099 Phone: 281-530-0000 Fax: 281-530-3735 |