SENIOR PSYCHOLOGICAL CARE SA I, LLC (NPI# 1205122355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205122355 |
| Entity Type | Organization |
| Organization Name | SENIOR PSYCHOLOGICAL CARE SA I, LLC |
| Practice Address |
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 |
| Practice Telephone | 7138500049 |
| Practice Fax Number | 7136277302 |
| Mailing Telephone | 7138500049 |
| Mailing Fax Number | 7136277302 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | RANDALL J. FRAPART (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7138500049 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 292958003 | 05 | |
| TX | 292958002 | 05 | |
| TX | BCBS TX | 0007WZ | 01 |
| TX | 292958001 | 05 | |
| TX | RR MCR HARRIS | DS2666 | 01 |
| Street Address |
4635 SOUTHWEST FWY STE 635 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77027-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538172812 | Paul David Wadler | Psychologist | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2006-08-15 |
| 1104458108 | Stephanie Stockton | Nurse Practitioner | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2020-02-07 |
| 1114559325 | Peter Formusoh | Nurse Practitioner | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2020-02-05 |
| 1548891047 | Jennifer Lee | Social Worker | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2020-02-03 |
| 1801427141 | Perpetua Eze | Nurse Practitioner | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2020-01-27 |
| 1699312926 | Vivian Young | Nurse Practitioner | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2019-12-05 |
| 1578119582 | Valarie Johnson | Social Worker | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2019-08-15 |
| 1952860124 | Alisha Neal | Social Worker | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2019-03-18 |
| 1154885630 | Wendy Lewis | Nurse Practitioner | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2019-01-29 |
| 1881164788 | Karen Bowery | Nurse Practitioner | 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | 2018-12-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456185 | River Oaks Senior Living LLC | Assisted Living Facility | 4 Briar Dale Ct, Houston, TX 77027 | 2020-01-18 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1841837986 | Veronica Welch | Social Worker | 464 Wild Indigo, Suite 150, Houston, TX 77027 | 2019-12-09 |
| 1184288805 | Gabriella Postalian-rizzo | Dentist | 4126 Southwest Freeway, Suite 1040, Houston, TX 77027 | 2019-04-29 |
| 1659856680 | Rachel Menges | Nurse Practitioner | 4200 Twelve Oaks Place, Houston, TX 77027 | 2018-09-25 |
| 1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
| 1760960892 | Emily Moore Netherton | Social Worker | 4646 Wild Indigo, Suite 150, Houston, TX 77027 | 2018-07-31 |
| 1548757826 | Foundations Pediatric Therapy of Houston | Occupational Therapist | 3312 Marquart Street, Houston, TX 77027 | 2018-04-22 |
| 1962905091 | Christina Raeann Gkinos | Licensed Practical Nurse | 3315 Marquart Street, 209, Houston, TX 77027 | 2018-03-15 |
| 1508366337 | Florence Okotie | Registered Nurse | 3315 Marquette St, Houston, TX 77027 | 2018-02-19 |
| Find all providers in zip 77027 | ||||
| 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 |
|---|---|---|---|---|
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1740818921 | Peter Simione | Psychologist | 7887 San Felipe St Ste 248, Houston, TX 77063-1621 | 2020-04-01 |
| 1316573629 | Tim Weissman | Psychologist | 9144 Spring Branch Dr Ste 103, Houston, TX 77080-7427 | 2020-03-18 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1922649334 | Amanda Rae Richter | Psychologist | 17030 Nanes Dr Ste 209, Houston, TX 77090-2533 | 2019-10-07 |
| 1962062018 | Michael Ralph Winters | Psychologist | 3435 Branard St Ste 202, Houston, TX 77027-6031 | 2019-06-19 |
| 1265998009 | Winsome Health Clinical Management LLC | Psychologist | 2925 Richmond Ave Ste 1200, Houston, TX 77098-3143 | 2019-02-18 |
| 1679046197 | Denis T Flanigan | Psychologist | 2211 Norfolk St Ste 206, Houston, TX 77098-4030 | 2019-01-08 |
| 1487129409 | Anita Payan | Psychologist | 6655 Travis St Ste 880, Houston, TX 77030-1344 | 2018-10-05 |
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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.