DR. CLINTON CONELL PRICE (NPI# 1720169253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720169253 |
| Entity Type | Individual |
| Full Name | DR. CLINTON CONELL PRICE |
| Credential | M.D. |
| Practice Address |
22 Bermuda Ln Longview TX 75605-2902 |
| Practice Telephone | 9032913456 |
| Practice Fax Number | 9036631722 |
| Mailing Telephone | 9032913456 |
| Mailing Fax Number | 9036631722 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
L4657 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
020273 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1967092 | 05 |
| Street Address |
22 BERMUDA LN |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457370298 | Mary Ann Gamel | Nurse Practitioner | 22 Bermuda Ln, Longview, TX 75605-2902 | 2006-07-19 |
| 1811532393 | Longview Wellbeing LLC | Substance Abuse Rehabilitation Facility | 22 Bermuda Ln, Longview, TX 75605-2902 | 2019-11-08 |
| 1760999171 | Kimberly Renee Collins | Nurse Practitioner | 22 Bermuda Ln, Longview, TX 75605 | 2018-01-08 |
| 1669796777 | Oglethorpe of Longview LLC | Psychiatric Hospital | 22 Bermuda Ln, Longview, TX 75605-2902 | 2010-03-18 |
| 1487839023 | Behavioral Hospital of Longview, LLC | Psychiatric Hospital | 22 Bermuda Ln, Longview, TX 75605-2902 | 2008-01-02 |
| 1952515827 | Rupa Peddireddy | Psychiatry & Neurology | 22 Bermuda Ln, Longview, TX 75605-2902 | 2007-05-10 |
| 1790832749 | East Texas Psychiatry Associates | Psychiatry & Neurology | 22 Bermuda Ln, Longview, TX 75605-2902 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1093710634 | Anca Balasu | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2005-06-20 |
| 1699914846 | David Lane Brown, Md | Psychiatry & Neurology | 911 Nw Loop 281, Suite 111, Longview, TX 75604 | 2009-02-11 |
| 1053505149 | Lance D Brigman, Md, Ps | Psychiatry & Neurology | 1004 Fir St, Longview, WA 98632-2527 | 2007-08-31 |
| 1790832749 | East Texas Psychiatry Associates | Psychiatry & Neurology | 22 Bermuda Ln, Longview, TX 75605-2902 | 2007-01-04 |
| 1992766299 | Patrick Kee Chau | Psychiatry & Neurology | 1004 Fir St, Longview, WA 98632-2527 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090243 | Ridgewood Psychiatry Pllc | Psychiatry & Neurology | 832 Ridgewood St, Brownsville, TX 78520 | 2020-10-16 |
| 1013525591 | El Paso Healthyminds Psychiatry, Pllc | Psychiatry & Neurology | 509 Rosinante Rd, El Paso, TX 79922-2224 | 2020-07-21 |
| 1073131686 | Nishan D. Adihetty Md, Pllc | Psychiatry & Neurology | 2219 Sawdust Rd Ste 1004, Spring, TX 77380-2580 | 2020-07-09 |
| 1063039535 | Sun Psychiatry Pllc | Psychiatry & Neurology | 12217 Sitting Bull Dr, El Paso, TX 79936-7891 | 2020-07-01 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1720613532 | Ferruzzi Psychiatric Services, Pllc | Psychiatry & Neurology | 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 | 2020-03-12 |
| 1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
| 1881255594 | Aditya Sharma, Pllc | Psychiatry & Neurology | 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 | 2019-06-24 |
| 1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
| 1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
| Find all providers with the same taxonomy | ||||
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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.