DR. RACQUEL ELISA REID (NPI# 1417247412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417247412 |
| Entity Type | Individual |
| Full Name | DR. RACQUEL ELISA REID |
| Credential | M.D |
| Practice Address |
2001 S Medford Dr Lufkin TX 75901-6260 |
| Mailing Address |
1045 Wake Robin Cir Sw Lilburn GA 30047-1881 |
| Practice Telephone | 9366335633 |
| Mailing Telephone | 4702093680 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R0487 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A151636 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A151636 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R0487 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 364142501 | 05 | |
| TX | CSHCN | 364142502 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14545 Sherman Cir, Van Nuys, CA 914053087 | 8189014830 | |
| 7703 Floyd Curl Dr, San Antonio, TX 782293901 | 2104506440 | 2104502104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982182986 | Racquel Reid | Social Worker | 206 W 148th St Apt 4f, New York, NY 10039-3129 | 2018-08-01 |
| Street Address |
2001 S MEDFORD DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75901-6260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396792420 | Burke Center | Psychiatry & Neurology | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2006-05-26 |
| 1528575719 | Jillian Nichol Dunaway | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2018-01-09 |
| 1780105916 | Lizeth Rojas-mcdaniel | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2017-06-28 |
| 1932557089 | Lori Coon | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2016-05-31 |
| 1740636778 | Monique Wicker | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2016-05-09 |
| 1295181444 | Rebecca Ball | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2016-05-06 |
| 1013374149 | Jordan Bridges | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2016-01-20 |
| 1326424441 | Burke Center | Clinic/Center | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2015-07-31 |
| 1992184394 | Burke Center | Clinic/Center | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2015-05-19 |
| 1023495322 | Deidra James | Counselor | 2001 S Medford Dr, Lufkin, TX 75901-6260 | 2015-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
| 1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
| 1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
| 1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| 1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
| Find all providers in zip 75901 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588906341 | Pediatric Behavioral Specialist of East Texas, LLP | Psychiatry & Neurology | 205 Gene Samford Dr, Lufkin, TX 75904-3359 | 2013-03-20 |
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| 1073131686 | Nishan D. Adihetty Md, Pllc | Psychiatry & Neurology | 2219 Sawdust Rd Ste 1004, Spring, TX 77380-2580 | 2020-07-09 |
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| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1720613532 | Ferruzzi Psychiatric Services, Pllc | Psychiatry & Neurology | 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 | 2020-03-12 |
| 1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
| 1881255594 | Aditya Sharma, Pllc | Psychiatry & Neurology | 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 | 2019-06-24 |
| 1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
| 1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
| 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.