| Senior Psychological Care Sa I, Llc | |
|
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
| (713) 850-0049 | |
| (713) 627-7302 |
| Full Name | Senior Psychological Care Sa 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 Sa I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychological Care Sa I, Llc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
| NPI Number | 1205122355 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 5193999860 |
|---|---|
| Medicare Enrollment ID | O20111114000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205122355 | NPI | - | NPPES |
| 0007WZ | Other | TX | BCBS TX |
| 292958002 | Medicaid | TX | |
| 292958003 | Medicaid | TX | |
| DS2666 | Other | TX | RR MCR HARRIS |
| 292958001 | Medicaid | TX |
| Provider Name | Amanda R Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598945396 PECOS PAC ID: 8527142637 Enrollment ID: I20080228000264 |
| Provider Name | Amy Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053581637 PECOS PAC ID: 3375606874 Enrollment ID: I20090109000256 |
| Provider Name | Howard E Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497819676 PECOS PAC ID: 9133270101 Enrollment ID: I20090707000435 |
| Provider Name | Irma S Beltran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609042340 PECOS PAC ID: 2365582905 Enrollment ID: I20091212000107 |
| Provider Name | Roberto C Montes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639523855 PECOS PAC ID: 8628360674 Enrollment ID: I20160712000993 |
| Provider Name | Jennifer Elizabeth Rawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417255423 PECOS PAC ID: 3971899592 Enrollment ID: I20160908001192 |
| Provider Name | Sharon Lou Canipe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396952693 PECOS PAC ID: 0749547842 Enrollment ID: I20171128001188 |
| Provider Name | Anthony Gacita Vinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346627197 PECOS PAC ID: 3476832270 Enrollment ID: I20200721004125 |
| Provider Name | Raymond Garcia Jr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528667599 PECOS PAC ID: 9234541863 Enrollment ID: I20201223001400 |
| Provider Name | Shari Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598307639 PECOS PAC ID: 5395171789 Enrollment ID: I20210413001550 |
| Provider Name | Beyinah Y Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871078659 PECOS PAC ID: 4082000849 Enrollment ID: I20220404000212 |
| Provider Name | Samantha Schoonover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609422401 PECOS PAC ID: 3274918776 Enrollment ID: I20220920002039 |
| Provider Name | Stephanie Sherelle Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003521139 PECOS PAC ID: 8123483633 Enrollment ID: I20230504002017 |
| Provider Name | Shirley Eilene Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255002556 PECOS PAC ID: 6204292865 Enrollment ID: I20230524000787 |
| Provider Name | Coral Harriman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417373069 PECOS PAC ID: 7517208895 Enrollment ID: I20230608002526 |
| Provider Name | Haydee Sierra-santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982385936 PECOS PAC ID: 2769844893 Enrollment ID: I20230821004182 |
| Provider Name | Ruby Mora Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437720182 PECOS PAC ID: 0143668889 Enrollment ID: I20240401002485 |
| Provider Name | Cynthia Colleen Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376847434 PECOS PAC ID: 1759813876 Enrollment ID: I20241015000486 |
| Provider Name | Tyffany Marie Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740003862 PECOS PAC ID: 0648704353 Enrollment ID: I20241116000242 |
| Provider Name | Helica Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265673206 PECOS PAC ID: 6204358484 Enrollment ID: I20250317003380 |
| Provider Name | Nicole Allison Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629961206 PECOS PAC ID: 0345750352 Enrollment ID: I20250609003529 |
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Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
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