SENIOR PSYCHOLOGICAL CARE SA LLC (NPI# 1124351754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124351754 |
| Entity Type | Organization |
| Organization Name | SENIOR PSYCHOLOGICAL CARE SA LLC |
| Practice Address |
4314 Yoakum Blvd Houston TX 77006-5818 |
| Practice Telephone | 7138500049 |
| Practice Fax Number | 7138500036 |
| Mailing Telephone | 7138500049 |
| Mailing Fax Number | 7138500036 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | MARVIN ABILIO CAMPOS (HUMAN RESOURCES) |
| Authorized Official Telephone | 7138500049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 760675 | TX | Nursing Service Providers |
| Street Address |
4314 YOAKUM BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77006-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389118 | Linda Ann Odom | Psychiatry & Neurology | 4314 Yoakum Blvd, Houston, TX 77006-5818 | 2005-10-11 |
| 1184156309 | Katherine E. Brannan | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2017-03-28 |
| 1538529862 | Jana Tran Phd Pllc | Psychologist | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2016-02-29 |
| 1225429855 | Dana Lloyd | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2015-02-18 |
| 1336530302 | The Growing Space, Pllc | Clinic/Center | 4314 Yoakum Blvd, Suite 6, Houston, TX 77006-5864 | 2015-02-12 |
| 1235534694 | Jessie King | Physician Assistant | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-10-28 |
| 1215331434 | Abigail Slagel | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-10-17 |
| 1568862548 | Demetrica Ellen Dement | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-08-27 |
| 1114336658 | Ann Grace Thomas | Nurse Practitioner | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-08-08 |
| 1265849715 | Brandon Lucio | Counselor | 4314 Yoakum Blvd, Houston, TX 77006-5864 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402555 | Houston Therapy for Girls Pllc | Marriage & Family Therapist | 4200 Montrose Blvd., Suite 510, Houston, TX 77006 | 2019-08-14 |
| 1124587340 | Mai Spickelmier-engel | Counselor | 1607 Fairview St, Houston, TX 77006 | 2019-03-18 |
| 1104393271 | Stanley Barron Mcdonald | Massage Therapist | 1617 Westheimer Road, Houston, TX 77006 | 2018-10-26 |
| 1336630003 | Adl Caregivers LLC | In Home Supportive Care | 4412 Stanford St Unit 4, Houston, TX 77006 | 2018-05-29 |
| 1306204599 | Sean Adam Mcconathy | Chiropractor | 1421 Branard, Houston, TX 77006 | 2016-02-03 |
| 1346652138 | Visionary Diagnostics LLC | Clinic/Center | 2450 Louisiana St Suite 400 #511, Houston, TX 77006 | 2014-05-28 |
| 1053668483 | Lauren Christine Saporito | Counselor | 4200 Montrose Blvd., Suite 510, Houston, TX 77006 | 2012-08-03 |
| 1124386800 | Elissa Jamie Bauer | Counselor | 4203 Montrose Blvd Ste 310, Houston, TX 77006 | 2012-05-01 |
| 1881976124 | Millicent Collins-lott | Pharmacist | 3317 Montrose, Houston, TX 77006 | 2011-09-13 |
| 1144515529 | Emily Rachael Anderson | Psychologist | 1401 Castle Court, Houston, TX 77006 | 2011-06-14 |
| Find all providers in zip 77006 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1538769740 | Kerri Kathleen Benavides | Licensed Practical Nurse | 2424 Wilcrest Dr Ste 100, Houston, TX 77042-2753 | 2020-10-27 |
| 1174130223 | Joan Fonji | Licensed Practical Nurse | 13555 Breton Ridge St Apt 2137, Houston, TX 77070-5836 | 2020-09-23 |
| 1699388389 | Irene Egbon | Licensed Practical Nurse | 12707 Bellaire Blvd Apt 1406, Houston, TX 77072-2175 | 2020-08-24 |
| 1245854462 | Chinwe Obetta | Licensed Practical Nurse | 10001 Fondren Rd, Houston, TX 77096-3608 | 2020-06-03 |
| 1932736576 | Judith Jummai Ogudo | Licensed Practical Nurse | 6726 Carly Park Way, Houston, TX 77084-1363 | 2020-03-24 |
| 1639702566 | Tranee Monique Martin | Licensed Practical Nurse | 910 Noble Springs Rd, Houston, TX 77062-2105 | 2020-02-19 |
| 1295374957 | Analissa Carter | Licensed Practical Nurse | 21406 N Werrington Way, Houston, TX 77073-6900 | 2019-12-29 |
| 1053968768 | Nayeli Esther Hamann | Licensed Practical Nurse | 17122 Plaistow Ct, Houston, TX 77084-6478 | 2019-08-19 |
| 1881247104 | Kathy Delois Davis | Licensed Practical Nurse | 3945 Braxton Dr Ste 2, Houston, TX 77063-6303 | 2019-07-17 |
| 1245897909 | Courtney Abigail Brock | Licensed Practical Nurse | 13223 Champions Centre Dr, Houston, TX 77069-2338 | 2019-05-28 |
| 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.