SUN CITY BEHAVIORAL HEALTH CARE (NPI# 1841434008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841434008 |
Entity Type | Organization |
Organization Name | SUN CITY BEHAVIORAL HEALTH CARE |
Practice Address |
2931 Montana Ave. Suite B El Paso TX 79903 |
Practice Telephone | 9155668224 |
Practice Fax Number | 9155661019 |
Mailing Telephone | 9155668228 |
Mailing Fax Number | 9155661019 |
Enumeration Date | 2009-04-30 |
Last Update Date | 2010-11-30 |
Authorized Official Name | MS. KRISTEN D DAUGHERTY (DIRECTOR) |
Authorized Official Telephone | 9153514680 |
Authorized Official Credential | LCSW, LISW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2931 MONTANA AVE. SUITE B |
City | EL PASO |
State | TX |
Zip Code | 79903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447757562 | Jacqueline J. Pantoja | Behavior Technician | 4100 Cumberland Ave, El Paso, TX 79903 | 2018-04-06 |
1891207718 | Luna Tierra Casa De Partos | Midwife | 4130 Hueco Ave., El Paso, TX 79903 | 2017-11-01 |
1275982415 | James Blanco I | Counselor | 6000 Welch #15, El Paso, TX 79903 | 2016-06-08 |
1902269426 | Mayra Gaona | Contractor | 3431 Pershing Dr. Ste D1, El Paso, TX 79903 | 2016-04-01 |
1164777918 | Silvia Elena Marrufo | Chiropractor | 2601 E Yandell Dr Ste 223, El Paso, TX 79903 | 2012-07-18 |
1992062335 | Claudia Marie Yagel | Occupational Therapist | 2429 Montanna Ave, #a, El Paso, TX 79903 | 2012-04-23 |
1801164199 | Kavita Bhakta | Pharmacist | 2879 Montana, El Paso, TX 79903 | 2011-12-01 |
1396032074 | Oscar Arteaga | Community/Behavioral Health | 4664 Caples Cir, El Paso, TX 79903 | 2011-07-01 |
1487977716 | William Beaumont Army Medical Center-army Substance Abuse Program | Social Worker | 1512 Mathias, El Paso, TX 79903 | 2010-03-01 |
1225259286 | Celia M Rubio | Pharmacist | 4101 Hastings, El Paso, TX 79903 | 2007-05-01 |
Find all providers in zip 79903 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518264696 | Abigail E Lopez | Clinical Nurse Specialist | 4225 Camelot Heights Dr., El Paso, TX 79912-2702 | 2011-02-25 |
1851558266 | Alfredo Arellano | Clinical Nurse Specialist | 1122 Montana Ave Ste A, El Paso, TX 79902-5510 | 2008-05-22 |
1174962906 | Hector Raul Morales | Clinical Nurse Specialist | 1717 Brown St, 2b, El Paso, TX 79902-4727 | 2013-06-14 |
1790085439 | Soledad Flores | Clinical Nurse Specialist | 4615 Alameda Ave, El Paso, TX 79905-2702 | 2010-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710599204 | Angeline Ngwe Taboh | Clinical Nurse Specialist | 2944 Marco Dr, Grand Prairie, TX 75052-8724 | 2020-08-18 |
1578173738 | Hope Health Services, LLC | Clinical Nurse Specialist | 19902 Roycroft Ln, Richmond, TX 77407-4000 | 2020-08-03 |
1730554999 | C-trilogy Comprehensive Clinical Care | Clinical Nurse Specialist | 104 Rothrock Dr, Suite A, Longview, TX 75602-1528 | 2015-12-14 |
1710384631 | Mental Health Professionals of San Antonio | Clinical Nurse Specialist | 1703 N Loop 1604 W Apt 1203, San Antonio, TX 78258-4679 | 2014-11-20 |
1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
1801185301 | Horizon Senior Care Inc | Clinical Nurse Specialist | 229 Bradfield Ln, Rockwall, TX 75087-9272 | 2011-04-05 |
1558506675 | Lynn Veronica Heselton | Clinical Nurse Specialist | 203 Lorine St, Keller, TX 76248-3434 | 2008-12-03 |
1881870244 | Steffani L Powell | Clinical Nurse Specialist | 100 Bunny Run Ln, Horseshoe Bay, TX 78657-6188 | 2008-01-16 |
1841481595 | Judith Elaine Wessely | Clinical Nurse Specialist | 27115 Trinity Hts, Apt 1025, San Antonio, TX 78261-2430 | 2007-08-07 |
1649490665 | Shannon Wilson Graham | Clinical Nurse Specialist | 400 Quail Creek Dr, Del Rio, TX 78840-2133 | 2007-05-01 |
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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.