SUJA KALEEKAL MATHEW (NPI# 1770826166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826166 |
| Entity Type | Individual |
| Full Name | SUJA KALEEKAL MATHEW |
| Credential | LPC |
| Practice Address |
2300 Marie Curie Dr Garland TX 75042-5706 |
| Practice Telephone | 9724875181 |
| Mailing Telephone | 9724875181 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
15178 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518146596 | Suja Aby Mathew | Pharmacist | 250 Route 59, Suffern, NY 10901-5315 | 2007-10-26 |
| 1457388340 | Suja Mariam Mathew | Internal Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2006-06-27 |
| Street Address |
2300 MARIE CURIE DR |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255303269 | Scott A Garoutte | Radiology | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2006-02-03 |
| 1588263602 | Courtney Samantha Wayne | Specialist/Technologist | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2020-10-20 |
| 1932729803 | Dallas Vamc | General Acute Care Hospital | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2020-04-21 |
| 1962902981 | Sally Koshy | Registered Nurse | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2018-02-16 |
| 1114398922 | Fair Acres Emergency Physicians, Pllc | Physician Assistant | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-10-20 |
| 1528444924 | Jennifer Nicole Adams | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-08-07 |
| 1770963571 | John Nuss | Physician Assistant | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-06-05 |
| 1578957254 | Laila Madhani | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2015-03-20 |
| 1790189942 | Select Specialty Hospital Dallas Inc | Long Term Care Hospital | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2014-10-17 |
| 1972854388 | Holly Kyoko Yamauchi | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2012-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887466 | Marquetta Harris | Counselor | 3508 Boxwood Dr, Garland, TX 75040-8798 | 2020-06-26 |
| 1043849003 | Kylie Ball | Counselor | 3256 Southern Dr, Garland, TX 75043-1679 | 2020-04-02 |
| 1821642950 | Angelo Isip Abella | Counselor | 3301 Excalibur Cir, Garland, TX 75044-3625 | 2019-07-26 |
| 1801455985 | Denise Thornton | Counselor | 1701 Dalewood Trl, Garland, TX 75040-4478 | 2019-06-11 |
| 1306336276 | Alicia Muhammad | Counselor | 1414 Bob White Dr, Garland, TX 75040-8214 | 2018-05-15 |
| 1164939559 | Lakisha Tolbert | Counselor | 2721 Phillips Dr, Garland, TX 75044-3731 | 2018-01-07 |
| 1386003242 | Nicholas T Jewell Jr. | Counselor | 3708 Boxwood Dr, Garland, TX 75040-0970 | 2016-02-19 |
| 1942552690 | Arthur David Mallinson | Counselor | 5242 Turtle Cove Rd, Garland, TX 75044-4930 | 2012-10-04 |
| 1710265178 | Pamela Johnson | Counselor | 5425 N Garland Ave, Suite 140, Pmb-201, Garland, TX 75040-2718 | 2011-08-02 |
| 1235455692 | Teri Holamon | Counselor | 707 W Avenue D, Garland, TX 75040-7001 | 2010-04-09 |
| Find all providers in GARLAND | ||||
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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.