MCLEAN HOUSTON OCD PROGRAM, LLC. (NPI# 1285268029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285268029 |
| Entity Type | Organization |
| Organization Name | MCLEAN HOUSTON OCD PROGRAM, LLC. |
| Practice Address |
708 E 19th St Houston TX 77008-4488 |
| Practice Telephone | 7135265055 |
| Mailing Telephone | 7135265055 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | ELIZABETH MCINGVALE (DIRECTOR) |
| Authorized Official Telephone | 7133069133 |
| Authorized Official Credential | PH.D., LCSW |
| 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 |
708 E 19TH ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77008-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396061 | Cali Werner | Social Worker | 708 E 19th St, Houston, TX 77008-4488 | 2020-02-03 |
| 1083276760 | Bridget Asplund | Student in an Organized Health Care Education/Training Program | 708 E 19th St, Houston, TX 77008-4488 | 2019-07-02 |
| 1508389206 | Charles Philip Brandt II | Psychologist | 708 E 19th St, Houston, TX 77008-4488 | 2017-07-25 |
| 1437698503 | Alejandra Sequeira | Psychologist | 708 E 19th St, Houston, TX 77008-4488 | 2017-02-22 |
| 1891238630 | Angela H Smith | Psychologist | 708 E 19th St, Houston, TX 77008-4488 | 2016-11-28 |
| 1730636622 | Melissa Fasteau | Psychologist | 708 E 19th St, Houston, TX 77008-4488 | 2016-09-08 |
| 1386090884 | Lauren Esworthy | Counselor | 708 E 19th St, Houston, TX 77008-4488 | 2016-05-13 |
| 1780054833 | Ivy Janitza Ikpeme Ruths | Psychologist | 708 E 19th St, Houston, TX 77008-4488 | 2015-10-01 |
| 1336520600 | Elizabeth Mcingvale | Social Worker | 708 E 19th St, Houston, TX 77008-4488 | 2015-06-12 |
| 1881031383 | Saharah Shrout | Counselor | 708 E 19th St, Houston, TX 77008-4488 | 2013-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891337606 | Fairway Chiropractic Heights | Chiropractor | 1904 W 18th Street, Houston, TX 77008 | 2019-10-14 |
| 1174084743 | Heights Hospice Care, LLC | Hospice Care, Community Based | 1419 West 24th Street, Houston, TX 77008 | 2019-03-27 |
| 1831679976 | Dentini Pediatric Dentistry | Dentist | 2723 Yale Street, Suite 104, Houston, TX 77008 | 2018-08-17 |
| 1326539487 | Lindsay Disidore | Music Therapist | 1538 Lawrence St., Houston, TX 77008 | 2018-05-24 |
| 1619496791 | Smilestone Dental, Pllc | Dentist | 2105 Yale St, Houston, TX 77008 | 2017-09-11 |
| 1306362280 | Jennifer Josey | Counselor | 448 W.19th St. #294, Houston, TX 77008 | 2017-08-22 |
| 1104340942 | Height Mint Dentistry Pllc | Clinic/Center | 2225 N. Shepard Dr, Houston, TX 77008 | 2017-08-02 |
| 1609390285 | Susan Aurich | Chiropractor | 621 W. 19th St., Houston, TX 77008 | 2017-07-26 |
| 1104351493 | Zuleikha Elizabeth Tyebjee | Family Medicine | 1001 Studewood St., Suite 200b, Houston, TX 77008 | 2017-04-25 |
| 1346789211 | Accommodative Healthcare LLC | Day Training, Developmentally Disabled Services | 1235 North Loop Suite #1015, Houston, TX 77008 | 2017-02-13 |
| Find all providers in zip 77008 | ||||
| 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 |
|---|---|---|---|---|
| 1053878355 | Mainstay Youth Services LLC | Clinic/Center | 7919 West Rd, Houston, TX 77064-8042 | 2019-02-23 |
| 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 |
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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.