MISSION PSYCHOLOGICAL CENTER, P.A. (NPI# 1730219007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730219007 |
Entity Type | Organization |
Organization Name | MISSION PSYCHOLOGICAL CENTER, P.A. |
Practice Address |
2504 N Conway Ave Mission TX 78574-2349 |
Practice Telephone | 9565199000 |
Practice Fax Number | 9565197722 |
Mailing Telephone | 9565199000 |
Mailing Fax Number | 9565197722 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-11 |
Authorized Official Name | BARRY D. BERGER (PRESIDENT) |
Authorized Official Telephone | 9565199000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
2504 N CONWAY AVE |
City | MISSION |
State | TX |
Zip Code | 78574-2349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780677575 | Barry D. Berger | Psychologist | 2504 N Conway Ave, Mission, TX 78574-2349 | 2005-08-26 |
1003264037 | Anna Chance | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2016-05-31 |
1083943302 | Cristina Lara | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2009-12-16 |
1245408061 | Marta N Garza | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2008-02-14 |
1457437535 | Lisa Blocker | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2006-10-31 |
1992881072 | Robert T Garcia | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2006-10-31 |
1356427439 | Rebecca Olivarez | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2006-10-31 |
1083790166 | Robert Otsuji | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2006-10-31 |
1437235512 | Pamela Parsons | Psychologist | 2504 N Conway Ave, Mission, TX 78574-2349 | 2006-10-31 |
1073699153 | San Juanita Rodriguez | Counselor | 2504 N Conway Ave, Mission, TX 78574-2349 | 2006-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163242 | Michelle Monique Brookshire | Pharmacist | 215 E 3 Mile Road, Palmhurst, TX 78574 | 2020-10-30 |
1720686967 | Beatriz Gonzalez | Counselor | 700 E 2 Mile Line, Mission, TX 78574 | 2020-10-10 |
1740760545 | Sabrina Rodriguez | Speech-Language Pathologist | 3007 N. Conway Ave, Mission, TX 78574 | 2018-08-21 |
1649724709 | Magaly Lopez | Specialist/Technologist | 1213 E 28th St, Mission, TX 78574 | 2016-08-06 |
1497131015 | Ali and Husain Md,pa | Family Medicine | 3003 N. Conway Ave., Mission, TX 78574 | 2015-08-05 |
1124459698 | Hobert L Smith, Md Pa | General Practice | 703 N Bentsen Palm Dr, Ste. H, Palmview, TX 78574 | 2013-12-09 |
1609129352 | Mgbr Group LLC | Clinic/Center | 3800 N Fm 492, Mission, TX 78574 | 2012-10-18 |
1750637351 | Epoca De Oro Adult Day Care, LLC | Clinic/Center | 915 N. La Homa Rd., Palmview, TX 78574 | 2012-08-01 |
1790044501 | Family Dentaland, P.a. | Dentist | 3401 W. Mile 5 Road, Suite 3, Mission, TX 78574 | 2012-05-14 |
1700165735 | A&f Contractors Inc. | Contractor | 6209 N Doffing Rd, Mission, TX 78574 | 2011-08-09 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528284239 | Johnson County Mental Health Center | Clinic/Center | 6000 Lamar Ave, Ste 130, Mission, KS 66202-3234 | 2007-04-18 |
1831294156 | Johnson County Mental Health Center | Clinic/Center | 6000 Lamar Ave, Ste 130, Mission, KS 66202-3234 | 2006-09-13 |
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1144833625 | Mind Above Matter LLC | Clinic/Center | 5900 Hereford Dr, Fort Worth, TX 76179-3395 | 2020-08-25 |
1407469067 | Daybreak Wellness, Pllc | Clinic/Center | 1666 N Hampton Rd Ste 103, Desoto, TX 75115-2390 | 2020-08-24 |
1487263000 | Stay Young Mental Health & Wellness | Clinic/Center | 8209 Roughrider Dr Ste 210, Windcrest, TX 78239-2457 | 2020-07-29 |
1285242305 | Abide Counseling Pllc | Clinic/Center | 505 Church Ave Ste B, College Station, TX 77840-1336 | 2020-07-14 |
1275151912 | Inger Daniels Aprn | Clinic/Center | 1937 Texas Pkwy Ste A, Missouri City, TX 77489-3121 | 2020-07-09 |
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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.