MEDICAL BEHAVIORAL HOSPITAL OF CLEAR LAKE, LLC (NPI# 1033744743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033744743 |
| Entity Type | Organization |
| Organization Name | MEDICAL BEHAVIORAL HOSPITAL OF CLEAR LAKE, LLC |
| Practice Address |
16850 Buccaneer Ln Houston TX 77058-2507 |
| Mailing Address |
112 W Jefferson Blvd Ste 600 South Bend IN 46601-1921 |
| Practice Telephone | 5742772630 |
| Mailing Telephone | 5742772530 |
| Mailing Fax Number | 5742772635 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | CHRISTY GILBERT (COO) |
| Authorized Official Telephone | 5742772630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
16850 BUCCANEER LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669821161 | Sacred Oak Medical Center, LLC | Psychiatric Hospital | 11500 Space Center Blvd, Houston, TX 77059 | 2016-06-07 |
| 1366859415 | Anna Ngang | Psychiatric Hospital | 5606 Georgetown Colony Dr, Houston, TX 77084-7127 | 2014-07-21 |
| 1689098790 | Houston Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 2801 Gessner Rd, Houston, TX 77080-2503 | 2014-02-10 |
| 1063779007 | Efficacy Health Services, LLC | Psychiatric Hospital | 8850 Long Point Road, 6th Floor, Houston, TX 77055-3006 | 2012-04-16 |
| 1093021719 | Behavioral Health Management, LLC | Psychiatric Hospital | 5314 Dashwood Drive, Houston, TX 77081 | 2010-08-19 |
| 1326359795 | Eating Recovery Center of Texas, LLC | Psychiatric Hospital | 7515 Main Street, Ste 400, Houston, TX 77030 | 2010-06-30 |
| 1851406169 | New Dimensions Day Hospital | Psychiatric Hospital | 1345 Space Park Dr Ste C, Houston, TX 77058-3469 | 2006-08-20 |
| 1376656074 | Department of Veterans Affairs | Psychiatric Hospital | 4640 Main St, 440, Houston, TX 77002-9714 | 2006-08-16 |
| 1932212636 | Michael E. Debakey Veterans Administration Hospital | Psychiatric Hospital | 4222 Joshua Circle, Houston, TX 77014 | 2006-08-16 |
| 1356352249 | The Michael E Debakey Va Medical Center | Psychiatric Hospital | 6160 E Sam Houston Pkwy N Apt 5306, Houston, TX 77049-7220 | 2006-08-10 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.