Jack E Bentham (NPI# 1477074326, PAC ID# 2567894058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1477074326 |
| PAC ID by PECOS | 2567894058 |
| Professional Enrollment ID | I20191121002966 |
| Full Name | Jack E Bentham |
| Organization Legal Name | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| Address |
2645 W Randol Mill Rd Interlochen Health and Rehabilitation Arlington TX 76012-4228 |
| Phone Number | 8172776789 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 3375717044 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2645 W Randol Mill Rd, Interlochen Health and Rehabilitation, Arlington, TX 76012-4228 | 8172776789 | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| 4252 Bryant Irvin Rd, Benbrook, TX 76109-4298 | 8177382975 | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| Organization Legal Name | SENIOR PSYCHOLOGICAL CARE DALLAS I LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlei Thomas | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 411 Airport Rd, Sulphur Springs, TX 75482-2005 |
| Kenya Nicole Nelson | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1850 W Pleasant Run Rd, Lancaster, TX 75146-1220 |
| Valarie Johnson | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1110 State Hwy 135 S, Overton Healthcare Center, Overton, TX 75684-1924 |
| Alisha Neal | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 983 N Texas St, Emory, TX 75440-2450 |
| Deborah Tome | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1000 Wiggins Pkwy, Christian Care Centers Inc., Mesquite, TX 75150-7465 |
| Nancy Hernandez | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 805 Harrison Ave, Matador, TX 79244-2000 |
| Kimberly Lasheryl Clough | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1200 S Hall St, Ennis Care Center, Ennis, TX 75119-6318 |
| Loyce Hopkins | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1000 Wiggins Pkwy, Christian Care Centers Inc., Mesquite, TX 75150-7465 |
| Faye A. Reimers | Psychologist, Clinical | Senior Psychological Care Dallas I LLC | 434 Paza Dr, Mesquite, TX 75149-5107 |
| Tascha Reese | Clinical Social Worker | Senior Psychological Care Dallas I LLC | 1870 John King Blvd, Rockwall, TX 75032-6216 |
| Street Address |
2645 W RANDOL MILL RD INTERLOCHEN HEALTH AND REHABILITATION |
| City | ARLINGTON |
| State | TX |
| Zip | 76012-4228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanna N Ahounou | Nurse Practitioner | 2645 W Randol Mill Rd, Arlington, TX 76012-4228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Schnebelen | Pathology | Arlington Pathology Association 501a Corporation | 801 W Interstate 20, Arlington, TX 76012 |
| Bryan Keith White | Internal Medicine | 1307 Sylvan Ct, Arlington, TX 76012-2400 | |
| Kifle Admassu | Hospitalist | 800 W Randol Mill Rd, Texas Health Arlington Memorial Hospital, Arlington, TX 76012-2503 | |
| Mercy I Amua Quarshie | Obstetrics/gynecology | Arlington Physician Services Pa | 810 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Michael D Henderson | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| John A Queralt | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Martin Pilat | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Alvin Anene | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Vikrum Suresh | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Michael A Todora | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Find all physicians in zip 76012 | |||
| City | ARLINGTON |
| Zip Code | 76012 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ARLINGTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jack E Bentham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.