INSTITUTE OF DYNAMIC BEHAVIOR (NPI# 1639436678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639436678 |
| Entity Type | Organization |
| Organization Name | INSTITUTE OF DYNAMIC BEHAVIOR |
| Practice Address |
3119 Mulberry Ranch Drive Katy TX 77494-3620 |
| Mailing Address |
3119 Mulberry Ranch Dr Katy TX 77494-3026 |
| Practice Telephone | 8322392152 |
| Practice Fax Number | 2815749026 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | GRACE NGOZI WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 8322392152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 004516 | 05 |
| Street Address |
3119 MULBERRY RANCH DRIVE |
| City | KATY |
| State | TX |
| Zip Code | 77494-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987198 | Amlad LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20622 Ginger Hill Ln, Katy, TX 77449-1406 | 2020-06-19 |
| 1073172623 | Angels Life Skills Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20829 Kingsland Blvd Ste D, Katy, TX 77450-2713 | 2019-06-07 |
| 1922663178 | Deloris N Ibe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4519 Capella Riviera Dr, Katy, TX 77493-3321 | 2019-05-03 |
| 1538621156 | Agape Individuality Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19130 Cotton Gin Dr, Katy, TX 77449-5249 | 2019-04-02 |
| 1629536305 | Heavenly Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2403 Village Stone Ct, Katy, TX 77493-1476 | 2019-03-12 |
| 1144788555 | Alice Lane | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6855 S Mason Rd Apt 1108, Katy, TX 77450-1233 | 2019-03-05 |
| 1891211181 | Authentic Adorable Community LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 Defoe Dr, Katy, TX 77449 | 2017-08-17 |
| 1164851903 | Emerging Medical Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24907 Spring Aspen Ct, Katy, TX 77494-6439 | 2013-11-02 |
| 1801138086 | Rhema Living Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6707 Wide Creek Dr, Katy, TX 77449-6373 | 2013-03-26 |
| 1942540331 | Jovic Care Group Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24906 Lodenstone Ct, Katy, TX 77494 | 2013-02-21 |
| Find all providers in KATY | ||||
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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.