| Specialty Clinic Medical Group, Pllc | |
|
2217 Park Bend Dr Ste 300 Austin TX 78758-5674 | |
| (512) 382-1933 | |
| (512) 777-4949 |
| Full Name | Specialty Clinic Medical Group, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2217 Park Bend Dr Ste 300, Austin, Texas |
| Authorized Official Name and Position | Divyansu Patel (MANAGER) |
| Authorized Official Contact | 5123821933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Clinic Medical Group, Pllc 2217 Park Bend Dr Ste 300 Austin TX 78758-5674 Ph: (512) 382-1933 | Specialty Clinic Medical Group, Pllc 2217 Park Bend Dr Ste 300 Austin TX 78758-5674 Ph: (512) 382-1933 |
| NPI Number | 1629409909 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 4082017512 |
|---|---|
| Medicare Enrollment ID | O20210721003537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629409909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Charles Sweet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164568283 PECOS PAC ID: 8123181989 Enrollment ID: I20090106000425 |
| Provider Name | Nishan D Adihetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316130065 PECOS PAC ID: 7810076882 Enrollment ID: I20101018000499 |
| Provider Name | Divyansu Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710178702 PECOS PAC ID: 2668546771 Enrollment ID: I20101109000217 |
| Provider Name | Rachel Michelle Abbott Rhodes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265878508 PECOS PAC ID: 9436475928 Enrollment ID: I20150227000290 |
| Provider Name | Sitwat Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376004556 PECOS PAC ID: 4183967961 Enrollment ID: I20230831002959 |
| Provider Name | Stephany Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508252305 PECOS PAC ID: 6709106610 Enrollment ID: I20240628003020 |
| Provider Name | Chike Amah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972375368 PECOS PAC ID: 7618413337 Enrollment ID: I20240718001005 |
| Provider Name | Shelby Leigh Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649017211 PECOS PAC ID: 6305370016 Enrollment ID: I20241116000135 |
| Provider Name | Yvonne Erusiafe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780145607 PECOS PAC ID: 6204178189 Enrollment ID: I20241223001195 |
| Provider Name | Angela Hollingsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578245833 PECOS PAC ID: 6002346665 Enrollment ID: I20250211003842 |
| Provider Name | Leigh Anne Barber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508606336 PECOS PAC ID: 8224568795 Enrollment ID: I20250213000453 |
Kevin Mcfarley, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Bee Caves Rd., Austin, TX 78746 Phone: 512-328-2875 Fax: 512-328-1924 | |
Develop Common Ground, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 | |
Neurowellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 | |
Fadya Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg 7c, Austin, TX 78746 Phone: 512-589-5897 | |
Juno Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 | |
Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
Emily Bent, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Arundel Rd, Austin, TX 78738 Phone: 919-949-5888 |