MR. BRENDON GAEL ROATCH-CARDENAS (NPI# 1265947261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265947261 |
| Entity Type | Individual |
| Full Name | MR. BRENDON GAEL ROATCH-CARDENAS |
| Other Name | MR. BRENDON GAEL O'HARA |
| Credential | PSYCHOLOGIST |
| Practice Address |
2175 Winrock Blvd Houston TX 77057-4000 |
| Practice Telephone | 7133766092 |
| Practice Fax Number | 7133766092 |
| Mailing Telephone | 7133766092 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2175 WINROCK BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77057-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096810 | Valencia Annik Payne | Registered Nurse | 5850 San Felipe Street Suite 500, Houston, TX 77057 | 2019-08-01 |
| 1144874884 | Birds Eye View Optometry Tanglewood Pllc | Optometrist | 5706 San Felipe St, Suite # B400, Houston, TX 77057 | 2019-07-31 |
| 1780168484 | Promidel Group LLC | Durable Medical Equipment & Medical Supplies | 5850 San Felipe Suite 500, Houston, TX 77057 | 2018-09-18 |
| 1750862074 | Express Rehab LLC | Clinic/Center | 6301 Richmond Ave Ste 110, Houston, TX 77057 | 2018-08-24 |
| 1902398258 | Serene Springs Health & Wellness Clinic | Nurse Practitioner | 6300 Richmond Ave Ste 202, Houston, TX 77057 | 2018-06-02 |
| 1063965978 | Crystal Adodo | Nurse Practitioner | 5749 San Felipe, Houston, TX 77057 | 2016-07-27 |
| 1639553266 | Nova Healthcare In LLC | Preventive Medicine | 2425 Fountain View Dr. Suite 160, Houston, TX 77057 | 2015-07-14 |
| 1134502941 | Audiology Partners of Texas, LLC | Hearing Aid Equipment | 5781 Woodway Dr, Houston, TX 77057 | 2015-06-30 |
| 1417348491 | Verimed Health and Medical Wellness Clinic, Inc | Specialist | 6363 Richmond Avenue Suite 278, Houston, TX 77057 | 2015-02-11 |
| 1740688076 | Candus Irby | Technician | 6363 Beverly Hill St Suite 8, Houston, TX 77057 | 2014-12-19 |
| Find all providers in zip 77057 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1104314533 | Kelly Nicole Banneyer | Psychologist | 6701 Fannin St Ste 1630, Houston, TX 77030-2615 | 2018-05-01 |
| 1679086615 | Houston Psychology and Wellness, Pllc | Psychologist | 1111 North Loop W Ste 820, Houston, TX 77008-4715 | 2017-11-13 |
| 1467824839 | Stewart Pisecco | Psychologist | 2015 Swift Blvd, Houston, TX 77030-1213 | 2015-10-26 |
| 1578969655 | Clear Lake Children's Center | Psychologist | 16815 Royal Crest Dr Ste 160, Houston, TX 77058-2534 | 2014-11-17 |
| 1063661569 | Kelley Martin Williams | Psychologist | 16441 Space Center Blvd, Suite C-100, Houston, TX 77058 | 2008-09-09 |
| 1417090010 | Melanie Yard Gregg | Psychologist | 3100 Weslayan St Ste B, Houston, TX 77027-5727 | 2007-02-14 |
| 1720174253 | Nannette Devon Williams | Psychologist | 7007 North Frwy Suite 300, Houston, TX 77067 | 2006-10-04 |
| 1922643667 | Alyzae Karim | Psychologist | 3730 Kirby Dr Ste 800, Houston, TX 77098-3982 | 2019-11-15 |
| 1740752476 | Real Talk LLC | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063-6500 | 2018-12-19 |
| 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.