FRESH START PSYCHIATRIC CLINIC (NPI# 1427666353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427666353 |
| Entity Type | Organization |
| Organization Name | FRESH START PSYCHIATRIC CLINIC |
| Practice Address |
9843 Blaine Lake Dr Houston TX 77086-2878 |
| Practice Telephone | 5129520295 |
| Practice Fax Number | 8885115650 |
| Mailing Telephone | 5129520295 |
| Mailing Fax Number | 8885115650 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | MATTHIAUS SUIRE (OWNER) |
| Authorized Official Telephone | 5129520295 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
9843 BLAINE LAKE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77086-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084004 | Millicent Andrea Dallas | Driver | 10830 Heather Hill Dr, Houston, TX 77086 | 2018-05-23 |
| 1710480983 | Llj Pharmacy | Pharmacy | 13420 Tomball Pkwy Ste K, Houston, TX 77086 | 2018-03-14 |
| 1588170351 | Robert Gopie | Dentist | Brident Dental, 13327 Tomball Parkway, Houston, TX 77086 | 2017-12-15 |
| 1265952667 | Margaret M Wilson | Speech-Language Pathologist | 4100 N Sam Houston Parkway W Suite 240, Houston, TX 77086 | 2017-06-27 |
| 1376904920 | Houston Compounding Pharmacy Inc | Pharmacy | 14002 Tomball Pkwy, #a, Houston, TX 77086 | 2016-03-10 |
| 1629456934 | Ina Healthcare Services | Non-emergency Medical Transport (VAN) | 10810 Coral Stone Road, Houston, TX 77086 | 2015-05-07 |
| 1831582659 | Christine Kim Pinyopusarerk | Dentist | 11740 State Highway 249 Ste A, Houston, TX 77086 | 2015-03-18 |
| 1790121390 | Antoine Health Clinic Inc. | Chiropractor | 11003 Antoine Dr. Ste.m, Houston, TX 77086 | 2013-05-22 |
| 1336583772 | Harshil Patel | Dentist | 13327 Tomball Parkway, Houston, TX 77086 | 2013-04-27 |
| 1316297583 | Abundantchanges | Community/Behavioral Health | 100002 Port Angeles Drive, Houston, TX 77086 | 2012-09-14 |
| Find all providers in zip 77086 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1770124042 | William Shepherd | Clinic/Center | 16800 Imperial Valley Dr, Houston, TX 77060-3159 | 2019-10-08 |
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1881152965 | Bear Creek Medical Center, Inc. | Clinic/Center | 4521 Highway 6 N Ste C, Houston, TX 77084-3479 | 2019-03-07 |
| 1710443627 | Total Life of Houston, LLC Dba J Flowers Health Institute | Clinic/Center | 1750 Sky Lark Ln Unit 2918, Houston, TX 77056-3747 | 2019-02-15 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1205326022 | Abacus Ime LLC | Clinic/Center | 1240 Blalock Rd Ste 190, Houston, TX 77055-6451 | 2018-05-17 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1336650860 | Fast Recovery Healthcare Center LLC | Clinic/Center | 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 | 2017-10-24 |
| 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.