Samina Ibad Siddiqui (NPI# 1588764310, PAC ID# 9436254349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1588764310 |
| PAC ID by PECOS | 9436254349 |
| Professional Enrollment ID | I20080808000116 |
| Full Name | Samina Ibad Siddiqui |
| Organization Legal Name | AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER |
| Address |
2410 E Riverside Dr Suite G3 Austin TX 78741-3053 |
| Phone Number | 5124724357 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9133016306 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2410 E Riverside Dr, Suite G3, Austin, TX 78741-3053 | 5124724357 | AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER |
| 5015 S Ih, Suite 35, Austin, TX 78744-2701 | 5124724357 | AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER |
| Organization Legal Name | AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Robert Benson | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 1165 Airport Blvd, Austin, TX 78702-3152 |
| Benjamin Adam Johnson | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 1631 E 2nd St, Suite D, Austin, TX 78702-4491 |
| Yaminiben I Bhakta | Physician Assistant | Austin Travis County Mental Health and Mental Retardation Center | 1430 Collier St, Austin, TX 78704-2911 |
| Vijay Rayalu Gorrepati | Psychiatry | Austin Travis County Mental Health and Mental Retardation Center | 6600 E Ben White Blvd, Herman Center for Mh Crisis Care, Austin, TX 78741-7537 |
| Leyna Kathleen Nunez | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 1631 E 2nd St A, Austin, TX 78702-4491 |
| Sara B Baldwin | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 1700 S Lamar Blvd, Suite 240, Austin, TX 78704-3361 |
| Rebecca Shira Cline | Clinical Social Worker | Austin Travis County Mental Health and Mental Retardation Center | 4920 N, 35 Suite 210, Austin, TX 78751-2725 |
| Naomi Ebere Tiku | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 5015 S Ih, Suite 35, Austin, TX 78744-2701 |
| David Duran | Clinical Psychologist | Austin Travis County Mental Health and Mental Retardation Center | 5225 N Lamar Blvd, Austin, TX 78751-1820 |
| Helen Tellegen | Nurse Practitioner | Austin Travis County Mental Health and Mental Retardation Center | 6222 N Lamar Blvd, Austin, TX 78752-4004 |
| Street Address |
2410 E RIVERSIDE DR SUITE G3 |
| City | AUSTIN |
| State | TX |
| Zip | 78741-3053 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Holt Grubbs | Psychiatry | Austin Travis County Mental Health and Mental Retardation Center | 2410 E Riverside Dr, Suite G3, Austin, TX 78741-3053 |
| Thomas Robert Wilkins | Optometry | Captex Vision Pllc | 2410 E Riverside Dr, Suite H10, Austin, TX 78741-3054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janrai Gravely | Chiropractic | 1602 E Riverside Dr, Austin, TX 78741-1006 | |
| Jerel K Wottrich | Chiropractic | 2121 E Oltorf, Suite 2, Austin, TX 78741-4559 | |
| Joan Elizabeth Assseff | Clinical Social Worker | Vericare PC | 6801 E Riverside Dr, Austin, TX 78741-6633 |
| Kristin Lenihan | Clinical Psychologist | Vericare PC | 6801 E Riverside Dr, Austin, TX 78741-6633 |
| Vijay Rayalu Gorrepati | Psychiatry | Austin Travis County Mental Health and Mental Retardation Center | 6600 E Ben White Blvd, Herman Center for Mh Crisis Care, Austin, TX 78741-7537 |
| Ziyad Bahij Nuwayhid | Psychiatry | Austin Travis County Mental Health and Mental Retardation Center | 6600 E Ben White Blvd, Herman Center for Mh Crisis Care, Austin, TX 78741-7537 |
| Kristin V Valderas-escamilla | Psychiatry | Austin Travis County Mental Health and Mental Retardation Center | 6600 E Ben White Blvd, Herman Center for Mh Crisis Care, Austin, TX 78741-7537 |
| City | AUSTIN |
| Zip Code | 78741 |
| Specialty | PSYCHIATRY |
| City + Specialty | AUSTIN + PSYCHIATRY |
Please comment or provide details below to improve the information on Samina Ibad Siddiqui.
| 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.