Senior Psychological Care I, Llc | |
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
(713) 850-0049 | |
(713) 627-7302 |
Full Name | Senior Psychological Care I, Llc |
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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 |
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Senior Psychological Care I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychological Care I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
NPI Number | 1245526490 |
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Provider Enumeration Date | 06/27/2011 |
Last Update Date | 12/13/2018 |
Medicare PECOS PAC ID | 1557535226 |
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Medicare Enrollment ID | O20111114000881 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245526490 | NPI | - | NPPES |
288412401 | Medicaid | TX | |
317954101 | Medicaid | TX | |
314835501 | Medicaid | TX | |
318238801 | Medicaid | TX | |
316711601 | Medicaid | TX | |
DS2752 | Other | TX | RR MCR HARRIS |
0099WY | Other | TX | BCBS TX |
Provider Name | Leslie L Crossman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235241332 PECOS PAC ID: 5395897078 Enrollment ID: I20090709000614 |
Provider Name | Irma S Beltran |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609042340 PECOS PAC ID: 2365582905 Enrollment ID: I20091212000107 |
Provider Name | Dawn L Baskin-turner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164549671 PECOS PAC ID: 3577741099 Enrollment ID: I20110701000047 |
Provider Name | Jennifer Elizabeth Rawley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417255423 PECOS PAC ID: 3971899592 Enrollment ID: I20160908001192 |
Provider Name | Kevin Mark Correia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194718650 PECOS PAC ID: 7012265960 Enrollment ID: I20180808003227 |
Provider Name | Bridgit A Williams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801037445 PECOS PAC ID: 0042496556 Enrollment ID: I20190411000345 |
Provider Name | Kimberly Moton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699165928 PECOS PAC ID: 7618226200 Enrollment ID: I20210821000150 |
Provider Name | Molly Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679293484 PECOS PAC ID: 1052780277 Enrollment ID: I20221210000490 |
Provider Name | Diane R Wilhite |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992942569 PECOS PAC ID: 5193199834 Enrollment ID: I20230321002049 |
Provider Name | James Joseph Peters |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316715600 PECOS PAC ID: 1052758687 Enrollment ID: I20240319001836 |
Provider Name | Dana Allison Alfaro |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801522321 PECOS PAC ID: 7810430949 Enrollment ID: I20240618001622 |
Provider Name | Ashley Johnson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134594328 PECOS PAC ID: 1850834433 Enrollment ID: I20240624004220 |
Provider Name | Qattaria L Baker |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174372973 PECOS PAC ID: 6204371040 Enrollment ID: I20240716004006 |
Provider Name | Jennifer Elaine Sawyer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1124625520 PECOS PAC ID: 2264862168 Enrollment ID: I20241104004084 |
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