DONNA DICKERHOFF (NPI# 1770828600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770828600 |
| Entity Type | Individual |
| Full Name | DONNA DICKERHOFF |
| Practice Address |
8402 Cross Park Dr Austin TX 78754-4595 |
| Practice Telephone | 5126978500 |
| Mailing Telephone | 5126978500 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 825 | TX | Residential Treatment Facilities |
| Street Address |
8402 CROSS PARK DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033163654 | Chg Cornerstone Hospital of Central Texas, L.p. | Long Term Care Hospital | 8402 Cross Park Dr, Suite A, Austin, TX 78754-4595 | 2006-05-19 |
| 1215582051 | Amy P Abraham | Registered Nurse | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2019-08-08 |
| 1679056949 | Chelsea Leary | Nurse Practitioner | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2018-09-12 |
| 1932688397 | Lindsey Michelle Pressel | Nurse Practitioner | 8402 Cross Park Dr, Austin, TX 78754 | 2018-08-07 |
| 1043701147 | Leah Elbaum | Counselor | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2018-05-23 |
| 1003368549 | Kendall Faith Kayworth | Nurse Practitioner | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2016-11-01 |
| 1215385422 | Tirado Institute for Chronic Conditions Pllc | Psychiatry & Neurology | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2016-05-27 |
| 1669870275 | Cedar Crest Clinic | Clinic/Center | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2014-12-12 |
| 1144625153 | Austin Behavioral Hospital, LLC | Psychiatric Hospital | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2014-11-03 |
| 1326383126 | Brooke A. Williams | Social Worker | 8402 Cross Park Dr, Austin, TX 78754-4595 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
| Find all providers in zip 78754 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651682 | Bee Cave Recovery | Substance Abuse Rehabilitation Facility | 1114 Lost Creek Blvd Ste G40, Austin, TX 78746-6375 | 2020-02-12 |
| 1699268466 | Omega Recovery | Substance Abuse Rehabilitation Facility | 1710 Evergreen Ave Ste B, Austin, TX 78704-2955 | 2018-06-07 |
| 1033649926 | Recovery Unplugged Encore, LLC | Substance Abuse Rehabilitation Facility | 5419 S Congress Ave, Austin, TX 78745-3103 | 2017-06-14 |
| 1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
| 1801283908 | Cedar Creek Recovery | Substance Abuse Rehabilitation Facility | 7211 Albert Rd, Austin, TX 78745-6101 | 2015-04-16 |
| 1124412218 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 2410 Howard Ln, Austin, TX 78728-7619 | 2015-03-26 |
| 1043613060 | Texas New Leaf LLC | Substance Abuse Rehabilitation Facility | 11711 N Lamar Blvd, Austin, TX 78753 | 2014-10-04 |
| 1760808992 | A New Entry, Inc. | Substance Abuse Rehabilitation Facility | 1915 E Martin Luther King Jr Blvd, Austin, TX 78702-1242 | 2014-03-12 |
| 1417393851 | Alg Equities | Substance Abuse Rehabilitation Facility | 223 W Anderson Ln Ste B600, Austin, TX 78752-1140 | 2013-05-13 |
| 1285998385 | The Arbor West | Substance Abuse Rehabilitation Facility | 6448 Hwy 290 E Ste E108, Austin, TX 78723 | 2012-07-03 |
| Find all providers in AUSTIN | ||||
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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.