MR. JOSEPH MICCI III (NPI# 1538704465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538704465 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH MICCI III |
| Credential | PMHNP-BC |
| Practice Address |
1006 N Bowen Rd Ste 126 Arlington TX 76012-2800 |
| Mailing Address |
5409 Miramar Ln Colleyville TX 76034-5556 |
| Practice Telephone | 6824785333 |
| Mailing Telephone | 2244062144 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP145011 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1006 N BOWEN RD STE 126 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033513577 | Jesse Tucker | Nurse Practitioner | 1006 N Bowen Rd Ste 126, Arlington, TX 76012-2800 | 2014-10-13 |
| 1700316296 | Carencia LLC | Psychiatry & Neurology | 1006 N Bowen Rd Ste 126, Arlington, TX 76012-2800 | 2017-06-15 |
| 1144757865 | Maestro Psychiatry Pllc | Clinic/Center | 1006 N Bowen Rd Ste 126, Arlington, TX 76012-2800 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1801404504 | Olive Green Behavioral Health Services Pllc | Nurse Practitioner | 4621 S Cooper St Ste 131-497, Arlington, TX 76017-5866 | 2020-07-20 |
| 1912524687 | Judi Saini | Nurse Practitioner | 12 Old Colony Ln Apt 9, Arlington, MA 02476-4413 | 2020-06-29 |
| 1396360269 | Restoring Minds Behavioral Services LLC | Nurse Practitioner | 2909 E Arkansas Ln Ste C, Arlington, TX 76010-6930 | 2020-06-16 |
| 1588286793 | Creative Minds Behavioral Health, LLC | Nurse Practitioner | 110 W Randol Mill Rd Ste 200, Arlington, TX 76011-4612 | 2020-05-11 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1194367813 | Agather Onyango | Nurse Practitioner | 725 Sendero Dr, Arlington, TX 76002-5715 | 2019-10-14 |
| 1710535398 | Ebelechukwu Ekwenugo | Nurse Practitioner | 616 Jagera Way, Arlington, TX 76002-4582 | 2019-08-28 |
| 1427514553 | Fast Behavorial Health Corporation | Nurse Practitioner | 1406 Anglican Dr, Arlington, TX 76002-3741 | 2019-02-13 |
| 1184129157 | Perfect Peace Health Consultants Pllc | Nurse Practitioner | 1401 Gilday Dr, Arlington, TX 76002-3734 | 2018-03-29 |
| Find all providers in ARLINGTON | ||||
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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.