MAINSTAY YOUTH SERVICES LLC (NPI# 1053878355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053878355 |
| Entity Type | Organization |
| Organization Name | MAINSTAY YOUTH SERVICES LLC |
| Practice Address |
7919 West Rd Houston TX 77064-8042 |
| Mailing Address |
Po Box 3134 Pearland TX 77588-3134 |
| Practice Telephone | 7139653801 |
| Mailing Telephone | 7139653801 |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-02-23 |
| Authorized Official Name | BRIAN CHARLES SCHULZ (MEMBER) |
| Authorized Official Telephone | 7139653801 |
| Authorized Official Credential | MSED,LPHA, LPC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
7919 WEST RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77064-8042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664475 | Khanh Pham | Optometrist | 17282 Tx-249, Houston, TX 77064 | 2020-06-24 |
| 1427672047 | 5203 Crest Ridge Drive | Nursing Care | 10050 West Road, Houston, TX 77064 | 2020-05-29 |
| 1467936641 | Krishelle Lagman | Specialist/Technologist | 17314 Tx-249, Ste 230, Houston, TX 77064 | 2018-09-24 |
| 1689192544 | Joshua Lee Trevino | In Home Supportive Care | 10802 Legacy Park Dr #10207, Houston, TX 77064 | 2017-08-31 |
| 1487178224 | Angle Homecare Corporation | Home Health | 10518 Encino Pass Trl, Houston, TX 77064 | 2017-08-02 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1710389333 | Ma Corazon Ann Garcia | Registered Nurse | 9506 Summer Run Dr, Houston, TX 77064 | 2014-09-25 |
| 1144640194 | Krystal Sennet | Speech-Language Pathologist | 17200 Tx-249, Suite 150, Houston, TX 77064 | 2014-04-17 |
| 1770908212 | Debra Norvick | Physical Therapy Assistant | 17200 Hwy 249 Suite 150, Houston, TX 77064 | 2014-02-20 |
| 1831442623 | Meagan Rivas | Speech-Language Pathologist | 17200 Hwy 249, 170, Houston, TX 77064 | 2012-10-18 |
| Find all providers in zip 77064 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101780 | Blue Sprig Pediatrics, Inc | Clinic/Center | 7500 San Felipe St Ste 600, Houston, TX 77063-1790 | 2018-01-02 |
| 1255851622 | The Happy Kids Project, LLC | Clinic/Center | 1734 Don Alejandro, Houston, TX 77091-5800 | 2017-06-26 |
| 1487019816 | Preferred Behavioral Health Pllc | Clinic/Center | 16225 Park Ten Place, Suite 500, Houston, TX 77084 | 2015-12-30 |
| 1255736054 | The Harris School | Clinic/Center | 6210 Rookin St, Houston, TX 77074-3718 | 2014-10-23 |
| 1174966915 | Idic Healthcare, Pllc | Clinic/Center | 627 W. 19th St., Suite 203, Houston, TX 77008-3613 | 2013-04-11 |
| 1801140975 | Nikad Incorporated | Clinic/Center | 13042 Leader St Unit 994, Houston, TX 77072-2193 | 2012-10-29 |
| 1366648586 | River Oaks Academy | Clinic/Center | 10600 Richmond Ave, Houston, TX 77042-4902 | 2007-06-25 |
| 1700499266 | Infinite Solutions Behavioral Services, LLC | Clinic/Center | 700 Milam St Ste 1300, Houston, TX 77002-2736 | 2020-08-25 |
| 1285269050 | The Ekklesia Concierge Telepsychiatry & Mental Health Services Pllc. | Clinic/Center | 6550 Mapleridge St, Houston, TX 77081-4600 | 2020-03-11 |
| 1285268029 | Mclean Houston Ocd Program, LLC. | Clinic/Center | 708 E 19th St, Houston, TX 77008-4488 | 2020-03-02 |
| 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.