JOSEPHA IMMANUEL (NPI# 1578853586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578853586 |
| Entity Type | Individual |
| Full Name | JOSEPHA IMMANUEL |
| Other Name | JOSEPHA-PEARL AIGBODESI ILUONAKHAMHE |
| Credential | M.D |
| Practice Address |
5602 Lyons Ave Houston TX 77020 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
R0252 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5602 LYONS AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396130 | Frances L Tseng | Pediatrics | 5602 Lyons Ave, Houston, TX 77020-4721 | 2006-10-05 |
| 1013415298 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5602 Lyons Ave, Houston, TX 77020 | 2018-01-23 |
| 1699209049 | Clarissa Danielle Reel | Dietitian, Registered | 5602 Lyons Ave, Houston, TX 77020-4721 | 2017-04-12 |
| 1437554953 | Rodari Newman | Nurse Practitioner | 5602 Lyons Ave, Houston, TX 77020 | 2014-10-27 |
| 1699034793 | Lin Dai | Family Medicine | 5602 Lyons Ave, Houston, TX 77020-4721 | 2012-05-09 |
| 1104198084 | Abril Torres | Counselor | 5602 Lyons Ave, Houston, TX 77020-4721 | 2012-02-07 |
| 1730413006 | Erin Ahrens Whitney | Internal Medicine | 5602 Lyons Ave, Houston, TX 77020-4721 | 2009-09-19 |
| 1568691483 | Melissa Macklin Rector | Psychiatry & Neurology | 5602 Lyons Ave, Houston, TX 77020-4721 | 2009-07-13 |
| 1225283088 | Michelle Lucia Desalvo | Physician Assistant | 5602 Lyons Ave, Houston, TX 77020-4721 | 2008-11-20 |
| 1043485410 | Marsha Morris Crutchfield | Counselor | 5602 Lyons Ave, Houston, TX 77020 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154847515 | Legacy Community Health Services | Pharmacy | 3811 Lyons Avenue, Suite 114, Houston, TX 77020 | 2017-08-17 |
| 1154626000 | Tatum Martin | Case Manager/Care Coordinator | 4409 Rawley St., Houston, TX 77020 | 2011-01-24 |
| 1578891610 | Sunday E. Dike | Pharmacist | 1515 Lockwood Drive, Walgreens Store 2686, Houston, TX 77020 | 2009-12-01 |
| 1386877116 | Mitchel Jay Abramsky | General Practice | 5605 Lyons Ave, Lyons Avenue Health Center, Houston, TX 77020 | 2009-08-27 |
| 1649420589 | Doan Thuy Do | Family Medicine | 464 Hahlo, Houston, TX 77020 | 2008-09-29 |
| 1770655193 | Hiep Nguyen | Dentist | 723 A Shotwell Street, Houston, TX 77020 | 2006-11-14 |
| 1790798288 | Roberto Cesar Garcia | Dentist | 6909 Lyons Ave, Houston, TX 77020 | 2006-08-14 |
| 1194733030 | Samuel Nmi Gold | Optometrist | 711 Shotwell, Houston, TX 77020 | 2006-08-04 |
| 1093780280 | Houston Community Health Centers Inc | Clinic/Center | 424b Hahlo Street, Houston, TX 77020 | 2006-02-21 |
| 1497101356 | Christelle Marie Hernandez | Nurse Practitioner | 3811 Lyons Ave, Houston, TX 77020 | 2016-05-10 |
| Find all providers in zip 77020 | ||||
| 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 |
|---|---|---|---|---|
| 1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
| 1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
| 1255727632 | Brandon Pita Chu | Psychiatry & Neurology | 1941 East Rd Ste 3236, Houston, TX 77054-6010 | 2015-04-12 |
| 1689913279 | United Psychiatry Institute, LLC | Psychiatry & Neurology | 9898 Bissonnet St Ste 362, Houston, TX 77036-8025 | 2013-02-03 |
| 1538411541 | Jeremy Edward Lankford | Psychiatry & Neurology | 6431 Fannin St # 3.153, Houston, TX 77030-1501 | 2012-10-15 |
| 1114244258 | Beverly J Lallande Md Pa | Psychiatry & Neurology | 6945 Burgess St, Houston, TX 77021-2011 | 2010-04-29 |
| 1154553493 | Liliana Lopez-moreno | Psychiatry & Neurology | 12667 Bissonnet Street, Houston, TX 77099 | 2009-08-20 |
| 1962607374 | Edwards Usher Mcreynolds | Psychiatry & Neurology | 1640 Norfolk St # B, Houston, TX 77006-5229 | 2007-06-16 |
| 1205030020 | Jenee' Gibson Stubbs | Psychiatry & Neurology | 2914 Meadowglen Cv, Houston, TX 77082-6866 | 2007-06-14 |
| 1518168996 | Gerald Busch M.d.p.a. | Psychiatry & Neurology | 6550 Mapleridge St Ste 210, Houston, TX 77081-4647 | 2007-05-31 |
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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.