QUEAMANI MICKENS (NPI# 1588100309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588100309 |
| Entity Type | Individual |
| Full Name | QUEAMANI MICKENS |
| Credential | LPA |
| Practice Address |
807 Henderson Ave Orange TX 77630-6325 |
| Practice Telephone | 4098832273 |
| Practice Fax Number | 4098832274 |
| Mailing Telephone | 4098832273 |
| Mailing Fax Number | 4098832274 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 37579 | TX | Behavioral Health & Social Service Providers |
| Street Address |
807 HENDERSON AVE |
| City | ORANGE |
| State | TX |
| Zip Code | 77630-6325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194959593 | Eryn M Lucas | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2009-05-13 |
| 1790305969 | Alyssa B Gilman | Speech-Language Pathologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2020-04-17 |
| 1316585698 | Shelby Dale Johnson | Behavioral Analyst | 807 Henderson Ave, Orange, TX 77630-6325 | 2019-12-17 |
| 1043865736 | Tina Maria Smith | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2019-08-08 |
| 1871025759 | Martha Hale | Behavioral Analyst | 807 Henderson Ave, Orange, TX 77630 | 2017-03-30 |
| 1467983031 | Team Elevate, LLC | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2017-03-24 |
| 1386195121 | Family & Psychological Center | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2016-10-17 |
| 1881140986 | Navicare, LLC | Case Management | 807 Henderson Ave, Orange, TX 77630-6325 | 2016-08-29 |
| 1306110879 | Joyce Glyn Moore | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2012-03-01 |
| 1467743385 | Amanda Gail Adams | Occupational Therapist | 807 Henderson Ave, Orange, TX 77630-6325 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
| 1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
| 1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
| 1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
| Find all providers in zip 77630 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073022604 | Inpsycht Psychological Services, PC | Psychologist | 2230 W Chapman Ave Ste 209, Orange, CA 92868-2316 | 2017-09-26 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1598156606 | Cynthia Ramirez Canul | Psychologist | 295 N Rampart St Ste A, Orange, CA 92868-1866 | 2015-02-10 |
| 1578896429 | Nhung Phan | Psychologist | 301 City Drive S, Orange, CA 92868 | 2009-09-10 |
| 1194959593 | Eryn M Lucas | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2009-05-13 |
| 1871771527 | Gerry Mary Waniewski | Psychologist | 1733 W Katella Ave, Orange, CA 92867-3428 | 2008-02-05 |
| 1033396064 | Frances Rose Dowdy | Psychologist | 6829 E Pinnacle Pointe, Orange, CA 92869-2431 | 2008-01-22 |
| 1356541718 | Edward Griffith Frey | Psychologist | 8502 E Chapman Ave # 265, Orange, CA 92869-2461 | 2007-07-23 |
| 1184845463 | Betty Ann Childress | Psychologist | 744 E Chapman Avenue, Orange, CA 92866-1621 | 2007-05-02 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| Find all providers in ORANGE | ||||
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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.