AUTUMN VIEW ALLIANCE, LLC (NPI# 1821283177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283177 |
| Entity Type | Organization |
| Organization Name | AUTUMN VIEW ALLIANCE, LLC |
| Other Organization Name | AUTUMN VIEW ALLIANCE |
| Practice Address |
261 Turtle Ln Seguin TX 78155-3142 |
| Mailing Address |
1136 E. Kingsbury St. Pmb 184 Seguin TX 78155-2148 |
| Practice Telephone | 2102501298 |
| Mailing Telephone | 2102501298 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2012-11-03 |
| Authorized Official Name | DR. MARY L. TREVINO (PSYCHOLOGIST/MANAGER) |
| Authorized Official Telephone | 2102501298 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TH0100X |
Psychologist Specialization: Health Service |
11530 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
11530 | TX | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
11530 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 166851902 | 05 | |
| TX | 166851903 | 05 | |
| TX | MEDICARE GROUP | TXB101283 | 01 |
| Other Name | Type Code |
|---|---|
| Autumn View Alliance | Doing Business As Name - Organization |
| Street Address |
261 TURTLE LN |
| City | SEGUIN |
| State | TX |
| Zip Code | 78155-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851428957 | Mary L. Trevino | Psychologist | 261 Turtle Ln, Seguin, TX 78155-3142 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417506098 | Brian Christianson | Specialist/Technologist | 1000 W. Court St, Athletic Training Clinic, Seguin, TX 78155 | 2019-09-06 |
| 1164903035 | Danie Marie Clifton | Licensed Vocational Nurse | 1265 Rawhide Rd, Seguin, TX 78155 | 2018-08-28 |
| 1871010959 | Lora Marie Varela | Occupational Therapy Assistant | 562 South Highway 123 Bypass, 224, Seguin, TX 78155 | 2017-08-29 |
| 1295251924 | Anas Hakimeh | Dentist | 901 N Hwy 123 Bypass, Seguin, TX 78155 | 2017-08-15 |
| 1225560774 | Amanda Shoemaker | Student in an Organized Health Care Education/Training Program | 1000 W. Court St., Seguin, TX 78155 | 2017-04-03 |
| 1952784670 | Evelyne Merab Matunda | Nurse Practitioner | 1350 Ashby St, Seguin, TX 78155 | 2015-06-30 |
| 1558798520 | Sound Asleep Dme | Durable Medical Equipment & Medical Supplies | 519 N. King St, Ste. 104, Seguin, TX 78155 | 2013-10-04 |
| 1154673101 | Lara A Perry Dds Pa | Dentist | 317 S Texas 46, Seguin, TX 78155 | 2012-10-15 |
| 1013222488 | Remarkable Healthcare of Seguin, Lp | Skilled Nursing Facility | 1339 Eastwood Drive, Seguin, TX 78155 | 2010-08-10 |
| 1750695342 | Ritchie Limb & Brace, LLC | Prosthetic/Orthotic Supplier | 1069 E. Gonzales, Seguin, TX 78155 | 2010-08-06 |
| Find all providers in zip 78155 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851428957 | Mary L. Trevino | Psychologist | 261 Turtle Ln, Seguin, TX 78155-3142 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639722135 | Jennifer Catherine Acker Ramirez | Psychologist | 39 N Brokenfern Dr, Spring, TX 77380-3987 | 2019-07-23 |
| 1982268595 | Lyn George Mcdonald | Psychologist | 107 Crescent St, San Antonio, TX 78209-5219 | 2019-04-29 |
| 1326501594 | Angela Paola Martinez | Psychologist | 2825 Wilcrest Dr Ste 128, Houston, TX 77042-3391 | 2019-04-12 |
| 1558851238 | Idh Medical Practice, P.a. | Psychologist | 6363 N State Highway 161 Ste 310, Irving, TX 75038-2262 | 2018-05-17 |
| 1265947261 | Brendon Gael Roatch-cardenas | Psychologist | 2175 Winrock Blvd, Houston, TX 77057-4000 | 2017-12-13 |
| 1376058115 | Brain Changers, LLC | Psychologist | 6222 De Zavala Rd Ste 203, San Antonio, TX 78249-2291 | 2017-12-01 |
| 1609304518 | Dawn Elizabeth Chandler | Psychologist | 1652 Prescott Cir, Flower Mound, TX 75028-7305 | 2017-05-23 |
| 1770010290 | Julie Chambers | Psychologist | 3550 Parkwood Blvd Ste 304, Frisco, TX 75034-1905 | 2017-05-15 |
| 1346657855 | Crawfprd Psychology, Pllc | Psychologist | 3101 Joe Ramsey Blvd E Ste 103a, Greenville, TX 75401-7762 | 2014-07-16 |
| 1184035412 | Evelyn Jagpat-o'halloran | Psychologist | 12028 Pepperidge Dr, Austin, TX 78739-1948 | 2014-05-08 |
| 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.