VERICARE, PC (NPI# 1710935119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710935119 |
| Entity Type | Organization |
| Organization Name | VERICARE, PC |
| Other Organization Name | VERICARE |
| Practice Address |
11025 Voth Rd Beaumont TX 77713-8613 |
| Mailing Address |
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 |
| Practice Telephone | 8002578715 |
| Practice Fax Number | 8008191655 |
| Mailing Telephone | 8003703651 |
| Mailing Fax Number | 8775157147 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-07-11 |
| NPI Deactivation Date | 04/11/2007 |
| NPI Reactivation Date | 2007-08-08 |
| Authorized Official Name | MR. MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT) |
| Authorized Official Telephone | 8003703651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 136136212 | 05 | |
| TX | RAILROAD MEDICARE | CB3582 | 01 |
| Other Name | Type Code |
|---|---|
| Vericare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861440372 | Vericare, PC | Social Worker | 5027 Pecan Grove Dr, San Antonio, TX 78222-3529 | 2006-05-05 |
| Street Address |
11025 VOTH RD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77713-8613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770141327 | Beaumont Urgent Care Management Partners, LLC | Clinic/Center | 3650 N. Major Dr., Suite A, Beaumont, TX 77713 | 2019-05-30 |
| 1518233485 | Jennifer Price | Technician | 7495 Westhaven, Beaumont, TX 77713 | 2012-03-26 |
| 1861535452 | Leila Elizabeth Cleveland | Audiologist | 6270 Phelan Blvd, Beaumont, TX 77713 | 2007-02-14 |
| 1821190851 | Austin A Barnett Dds PC | Dentist | 7985 Hwy 105, Beaumont, TX 77713 | 2006-09-01 |
| 1316051238 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 10980 Pinehaven, Beaumont, TX 77713 | 2006-08-18 |
| 1982718805 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 11510 Loop Road, Beaumont, TX 77713 | 2006-08-18 |
| 1417567934 | Cassandra Covington Dewall | Counselor | 8150 N. Major Dr., Beaumont, TX 77713 | 2020-08-10 |
| 1568598142 | Lee Haak Md Pa | Family Medicine | 5875 N Major Dr, Ste 134, Beaumont, TX 77713 | 2007-02-26 |
| 1508485251 | Setx Healthcare Partners LLC | Clinic/Center | 3255 N Major Dr Ste F, Beaumont, TX 77713-1034 | 2020-04-13 |
| 1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
| Find all providers in zip 77713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634492 | Jared A Doegey | Psychologist | 1683 Cirrus Way, Beaumont, CA 92223-3232 | 2020-03-17 |
| 1326443391 | Scott Forbes | Psychologist | 6200 Knauth Rd, Beaumont, TX 77705 | 2014-11-03 |
| 1831517481 | Andrew William Mezurecky | Psychologist | 546 Cyrise Lane, Beaumont, CA 92223 | 2014-04-01 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1740380732 | John Walter Bordages Jr. | Psychologist | 6870 Phelan Blvd, Beaumont, TX 77706-5970 | 2006-09-22 |
| 1396752580 | Rita Hurt | Psychologist | 150 Dowler Rd, Ste B, Beaumont, TX 77706 | 2006-08-01 |
| 1952321697 | Christine M Mcmahon | Psychologist | 790 Beaumont Ave, #224, Beaumont, CA 92223-5900 | 2006-07-19 |
| 1194718650 | Kevin Mark Correia | Psychologist | 8155 Gladys Ave, Beaumont, TX 77706 | 2005-08-30 |
| 1962665919 | James A Duncan | Psychologist | 3560 Delaware, Suite 602, Beaumont, TX 77706 | 2008-07-09 |
| 1962572545 | James A. Duncan | Psychologist | 3560 Delaware St, Ste. 602, Beaumont, TX 77706-3067 | 2006-11-09 |
| Find all providers in BEAUMONT | ||||
Please comment or provide details below to improve the information on VERICARE, PC.
| 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.