Sighbenn Healing and Cultural Place

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

26864 Issued in TX

Legal business name

SIGHBENN HEALING AND CULTURAL PLACE

Doing business as

Life Center Healing and Cultural Place

Practice address

26515 Oak Ridge Dr
The Woodlands, TX 77380-1966

Phone

(281) 367-0328

Fax

(281) 419-9753

NPI assigned

Jul 13, 2007

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Missid G Ghanem, MPH, PSY.DNPI 1619082617

Title

Clinical Psychologist

Phone

(281) 367-0328

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Life Center Healing and Cultural Place Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Missid George Ghanem, PSYD

  • Psychologist
  • Woodland, TX
  • NPI 1619082617
  Medicare reassignment NPD Authorized official
• Carolyn S. Harrison, LPC

  • Professional Counselor
  • The Woodlands, TX
  • NPI 1437227410
  NPD (past)
• Beverly Solomon, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
  • NPI 1275656985
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1003015777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26515 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801966",
            "telephone_number": "281-367-0328",
            "fax_number": "281-419-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26515 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801966",
            "telephone_number": "281-367-0328",
            "fax_number": "281-419-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGHBENN HEALING AND CULTURAL PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "MISSID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "281-367-0328",
        "authorized_official_credential": "MPH, PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "TX",
            "license": "26864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097011302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619082617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Center Healing and Cultural Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ather J Siddiqi, MD
• Mohammad I Siddiqi, M.D.
• Hina Farooq Siddiqui, MD
• Nihal U Siddiqui, M.D.
• Nisha Sidhwani, D.O.
• Angela Kay Signorelli, LCSW
• Kristi A Sikes, M.D.
• Jeffrey Paul Silva, BCBA
• Manolito C Simbahan, MD
• Ghada Francis Simmons, LPC-A

• Family Psychologist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.