MAGNOLIA PSYCHIATRY (NPI# 1346866845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346866845 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA PSYCHIATRY |
| Practice Address |
17510 Huffmeister Rd Ste 103 Cypress TX 77429-6785 |
| Practice Telephone | 2107878973 |
| Mailing Telephone | 2107878973 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | KEVIN STUMP (OWNER) |
| Authorized Official Telephone | 2107878973 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Magnolia Management, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MAGNOLIA PSYCHIATRY, LLC | 12729 Northup Way, Suite 6, Bellevue, WA 98005-1935 |
| Street Address |
17510 HUFFMEISTER RD STE 103 |
| City | CYPRESS |
| State | TX |
| Zip Code | 77429-6785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639331895 | Kevin Joseph Stump | Registered Nurse | 17510 Huffmeister Rd Ste 103, Cypress, TX 77429-6785 | 2008-06-30 |
| 1922527746 | Kimberly Le | Counselor | 17510 Huffmeister Rd Ste 103, Cypress, TX 77429-6785 | 2017-09-13 |
| 1295089639 | Celix Cortez | Counselor | 17510 Huffmeister Rd Ste 103, Cypress, TX 77429-6785 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424757 | Jesus Ramon Jasso Jr. | Counselor | 2126 Northwest Freeway/21216 U.S. 290 West, Suite 450, Cypress, TX 77429 | 2020-07-08 |
| 1659911196 | Ffarzamllc | Dentist | 12430 Grant Road, Suite C, Cypress, TX 77429 | 2020-01-13 |
| 1467094136 | Bud Norita | Technician | 11111 Saathoff Dr., Apt. #422, Cypress, TX 77429 | 2019-10-14 |
| 1710529938 | Cypress Pediatric Occupational Therapy | Occupational Therapist | 12916 Malcomson Rd, Cypress, TX 77429 | 2019-10-09 |
| 1902460058 | Alison M Lampton | Counselor | 17920 Huffmeister Rd Ste 250, Cypress, TX 77429 | 2019-04-24 |
| 1295295699 | Ana Paula Mendez | Nurse Practitioner | 4216 Northwest Fwy, Suite 560, Cypress, TX 77429 | 2019-03-21 |
| 1952860371 | Andre Austin | Behavior Technician | 12110 Huffmeister, Cypress, TX 77429 | 2019-03-15 |
| 1598224917 | Tania Nguyen | Behavior Technician | 12110 Huffmeister Rd, Cypress, TX 77429 | 2019-03-15 |
| 1265903330 | Cypress Rosehill Family Dentistry, Pllc | Dentist | 15626 Cypress Rosehill Rd, Suite 300, Cypress, TX 77429 | 2018-12-16 |
| 1124597661 | Gordon Agawereh | Nurse Practitioner | 25801 Us-290, Cypress, TX 77429 | 2018-11-14 |
| Find all providers in zip 77429 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871954164 | James P. Hall D.o. A Medical Corp | Psychiatry & Neurology | 5816 Corporate Ave, Suite 170, Cypress, CA 90630-4731 | 2016-03-14 |
| 1285945774 | Wilfrido Omar Dominguez | Psychiatry & Neurology | 17510 Huffmeister Rd Ste 105, Cypress, TX 77429-6785 | 2010-06-29 |
| 1518132067 | Abishek R Rizal | Psychiatry & Neurology | 10440 Rexford Ct, Cypress, CA 90630-4633 | 2008-04-25 |
| 1790836104 | Jessica Louise Langenhan | Psychiatry & Neurology | 5665 Plaza Dr Ste 400, Cypress, CA 90630-5037 | 2007-01-13 |
| 1760490643 | James Patrick Hall | Psychiatry & Neurology | 5400 Orange Ave Ste 114, Cypress, CA 90630-3700 | 2006-08-04 |
| 1922316462 | Matthew Eugene Hinthorn | Psychiatry & Neurology | 17510 Huffmeister Rd Ste 105, Cypress, TX 77429-6785 | 2010-09-17 |
| 1972820215 | Jared Heathman | Psychiatry & Neurology | 17510 Huffmeister Rd, Suite 105, Cypress, TX 77429-6785 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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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.