Gulf Coast Behavioral Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GULF COAST BEHAVIORAL CLINIC LLC

Practice address

3126 Rodd Field Rd
Corpus Christi, TX 78414-3901

Phone

(361) 452-6898

Fax

(361) 458-6870

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Ana Falcon

Title

Business Director

Phone

(956) 358-2723

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Eva Maria Parra, NNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1306143656
  Medicare reassignment Care Compare group NPD
• Georgina Chinwe Uzoigwe, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1518204924
  Medicare reassignment Care Compare group NPD
• John O Lusins III, M.D.

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1689846701
  Medicare reassignment NPD
• Mario A Quintanilla, MD

  • Child & Adolescent Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1871552729
  Medicare reassignment NPD
• Hatira Watts, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1598130361
  Medicare reassignment NPD
• Stanislaus Nwafor Uzoigwe, MD PA

  • Pediatrics Physician
  • Rio Grande City, TX
  • NPI 1689618555
  NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1104206226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 RODD FIELD RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143901",
            "telephone_number": "361-452-6898",
            "fax_number": "361-452-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 RODD FIELD RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143901",
            "telephone_number": "361-452-6898",
            "fax_number": "361-458-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "956-358-2723"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351321001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernesto Hugo Guido, M.D.
• Louis Guidry, MRC
• Maricela D Gulbronson, M.D.
• Madeleine Gulding, COTA
• Gulf Biomechanical Laboratory LLC
• Gulf Coast Council of la Raza, Inc.
• Gulf Coast ENT and Allergy
• Gulf Coast Healing, P.a.
• Gulf Coast Intensivists, PLLC
• Gulf Coast Neonatology, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.