| Staats Psychiatric Services Pllc | |
|
12151 W Parmer Ln Ste 202 Cedar Park TX 78613-2171 | |
| (512) 593-7070 | |
| Not Available |
| Full Name | Staats Psychiatric Services Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 12151 W Parmer Ln Ste 202, Cedar Park, Texas |
| Authorized Official Name and Position | Annmarie Staats (OWNER) |
| Authorized Official Contact | 5128885918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Staats Psychiatric Services Pllc 12151 W Parmer Ln Ste 202 Cedar Park TX 78613-2171 Ph: (512) 593-7070 | Staats Psychiatric Services Pllc 12151 W Parmer Ln Ste 202 Cedar Park TX 78613-2171 Ph: (512) 593-7070 |
| NPI Number | 1932672649 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 8921346792 |
|---|---|
| Medicare Enrollment ID | O20190221000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932672649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Annmarie Staats |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1902309412 PECOS PAC ID: 4880940600 Enrollment ID: I20180710001797 |
| Provider Name | Nicole Elizabeth Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063749174 PECOS PAC ID: 1850622457 Enrollment ID: I20191014000264 |
| Provider Name | Lasonda Michelle Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659908887 PECOS PAC ID: 5991135923 Enrollment ID: I20200415001640 |
| Provider Name | Isabell Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154907939 PECOS PAC ID: 1153730080 Enrollment ID: I20210506000283 |
| Provider Name | Amanda Styler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477201614 PECOS PAC ID: 0143600981 Enrollment ID: I20220711001131 |
| Provider Name | Shana Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770033706 PECOS PAC ID: 9234590829 Enrollment ID: I20230728002777 |
| Provider Name | Okwuchkwu Okpalaese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215646583 PECOS PAC ID: 4587010798 Enrollment ID: I20231024003656 |
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