KENNETH MCTAGUE (NPI# 1114977832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114977832 |
| Entity Type | Individual |
| Full Name | KENNETH MCTAGUE |
| Credential | PHD |
| Practice Address |
2300 Highway 365 Suite 620 Nederland TX 77627-6256 |
| Practice Telephone | 4097290400 |
| Practice Fax Number | 8665738008 |
| Mailing Telephone | 4097290400 |
| Mailing Fax Number | 8665738008 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20970 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2300 HIGHWAY 365 SUITE 620 |
| City | NEDERLAND |
| State | TX |
| Zip Code | 77627-6256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862954 | Sambasiva Rao Sukhavasi | Internal Medicine | 2300 Highway 365, Ste. 210, Nederland, TX 77627-6256 | 2005-06-21 |
| 1770957847 | Sambasiva R Sukhavasi Md Pa | Internal Medicine | 2300 Highway 365, Ste. 210, Nederland, TX 77627-6256 | 2015-11-30 |
| 1740535764 | Kalil Al-nassir, Md Pa | Internal Medicine | 2300 Highway 365, Suite 430, Nederland, TX 77627-6256 | 2012-07-16 |
| 1053610089 | Golden Triangle Cardiothoracic and Vascular Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2300 Highway 365, Ste 420, Nederland, TX 77627-6256 | 2011-03-16 |
| 1346553120 | Amit M. Patel | Dermatology | 2300 Highway 365, Suite 670, Nederland, TX 77627-6256 | 2010-07-21 |
| 1598094526 | Jamie Broussard Packman | Dietitian, Registered | 2300 Highway 365, Suite 330, Nederland, TX 77627-6256 | 2009-12-22 |
| 1619105079 | Ronald K Mccraw, Phd, Do, Pa | Psychologist | 2300 Highway 365, Suite 610, Nederland, TX 77627-6256 | 2009-06-24 |
| 1578727616 | Curtis E Wills, PC | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-07-17 |
| 1245406933 | Vision Psychological Services LLP | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-05-02 |
| 1174711667 | Virginia J. Rosas | Social Worker | 2300 Highway 365, Suite 110, Nederland, TX 77627-6256 | 2007-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635689 | Linda Christine White | Counselor | 2300 Fm 365, Suite 200, Nederland, TX 77627 | 2018-07-10 |
| 1790274462 | Anew Wellness, LLC | Family Medicine | 1005 Nederland Ave, Nederland, TX 77627 | 2018-05-08 |
| 1851800080 | Teekam Lohano, Md Pa | Pediatrics | 2400 Highway 365 Ste 107, Nederland, TX 77627 | 2017-09-20 |
| 1689198129 | Zachary Slay Cecil | Specialist/Technologist | 2101 N 18th St, Nederland, TX 77627 | 2017-07-26 |
| 1336521210 | Kristina Devillier | Counselor | 520 S Twin City Hwy Ste 106, Nederland, TX 77627 | 2015-06-26 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1346518032 | Kyler Counseling Pllc | Counselor | 320 N. 12th St., Nederland, TX 77627 | 2011-12-08 |
| 1093006082 | Gerzain Whitney Gomez | Dentist | 1320 Franklin Ave, Albritton Dental Associates, Nederland, TX 77627 | 2011-04-25 |
| 1689858102 | Chad Hammett M D Pllc | Specialist | 2200 Hwy 365, Nederland, TX 77627 | 2007-12-19 |
| 1760689244 | Jose Vicente Paloma Limjoco | Physical Therapist | 2324 Knickerbocker Drive, Nederland, TX 77627 | 2007-06-28 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245406933 | Vision Psychological Services LLP | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-05-02 |
| 1487860425 | Mohammad Khalid Hamza | Psychologist | 2300 Hwy 365, Ste. 200, Nederland, TX 77627-6251 | 2007-05-15 |
| 1649351867 | Nisha Amin | Psychologist | 2300 Highway 365, #620, Nederland, TX 77627-6256 | 2006-10-17 |
| 1528094521 | Albert Hill Smith | Psychologist | 2300 Highway 365, #110, Nederland, TX 77627-6256 | 2006-06-23 |
| 1407808082 | George Wayne Graham | Psychologist | 2300 Highway 365, Suite 110, Nederland, TX 77627-6256 | 2006-05-16 |
| 1740238583 | Vision Psychological Services PC | Psychologist | 2300 Highway 365, Suite 620, Nederland, TX 77627-6256 | 2006-05-04 |
| 1134177967 | C & M Geriatric Services LLP | Psychologist | 2300 Highway 365, Suite 110, Nederland, TX 77627-6256 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352340 | Frisco Psychology Group Inc | Psychologist | 3725 Angeles Ave, Mckinney, TX 75070-5402 | 2020-09-24 |
| 1356956783 | Yvonne Ann Fritz | Psychologist | 1402 S Custer Rd, Mckinney, TX 75072-1451 | 2020-09-11 |
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
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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.