CRESCENT PSYCHIATRY PLLC (NPI# 1043560642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043560642 |
| Entity Type | Organization |
| Organization Name | CRESCENT PSYCHIATRY PLLC |
| Practice Address |
1604 Hospital Pkwy Ste 203 Bedford TX 76022-6930 |
| Mailing Address |
2852 Gibraltar St Irving TX 75062-5298 |
| Practice Telephone | 8173542888 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | SABAHAT FAHEEM (MD) |
| Authorized Official Telephone | 8173542888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | TXB166118 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245462134 | Crescent Psychiatry Pllc | Psychologist | 3819 100th St Sw, Suite 7-c, Lakewood, WA 98499-4470 | 2009-08-11 |
| Street Address |
1604 HOSPITAL PKWY STE 203 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-6930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568506699 | Shahnhaz Saleem | Psychiatry & Neurology | 500 Gold Hawk Ln., Bedford, TX 76022 | 2007-02-20 |
| 1740329291 | Dubravko Matije Kuftinec | Psychiatry & Neurology | 69 Stowell Rd, Bedford, NH 03110-4716 | 2007-02-05 |
| 1033265509 | Stanley F Wallace | Psychiatry & Neurology | 38 Hancock Street, Bedford, MA 01730 | 2007-01-26 |
| 1326146960 | Shannon Johnson | Psychiatry & Neurology | 3901 Airport Fwy, Suite 320, Bedford, TX 76021-6117 | 2006-09-20 |
| 1144339417 | Jayakumar Patil | Psychiatry & Neurology | 80 Palomino Ln Ste 203, Bedford, NH 03110-6447 | 2006-08-30 |
| 1083625222 | Barbara Ann Walters | Psychiatry & Neurology | 1 Bedford Farms Dr, Bedford, NH 03110-6524 | 2006-08-11 |
| 1780613620 | Svetlana Droznin | Psychiatry & Neurology | 218 North Rd, Bedford, MA 01730-1024 | 2006-07-02 |
| 1487696076 | Centra Health Professional Services | Psychiatry & Neurology | 810 Blue Ridge Ave, Suite A, Bedford, VA 24523-2433 | 2006-06-11 |
| 1871530071 | Daniel M Teplin | Psychiatry & Neurology | 205 Burlington Rd, Bedford, MA 01730-1406 | 2006-05-31 |
| 1477512804 | Philip K. Wu | Psychiatry & Neurology | 7 Colby Ct # 7-153, Bedford, NH 03110-6427 | 2006-03-23 |
| Find all providers in BEDFORD | ||||
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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.