Next Level Psychiatric Care Inc
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Lake Jackson, TX
NPI 1154052991 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1154052991
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- NEXT LEVEL PSYCHIATRIC CARE INC
- Practice address
- 7 W Way CT Ste E
Lake Jackson, TX 77566-5253 - Phone
- (346) 500-5356
- Fax
- (813) 725-5511
- NPI assigned
- Jun 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Victor Varghese, NP
- Title
- Owner of Entity
- Phone
- (347) 283-0927
Practitioners 1
-
Victor Varghese, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230523003143 | TX | Part B Supplier - Clinic/Group Practice | 0446616072 |
Receives reassigned benefits from 1 practitioner Practice locations: Lake Jackson, TX |
National Provider Directory
Locations
13919 Carrollwood Village Run
Ste 14
Tampa, FL 33618
Phone (347) 283-0927
7 W Way Ct
Ste E
Lake Jackson, TX 77566
Phone (346) 500-5356
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
7 W Way CT Ste E
Lake Jackson, TX 77566-5253
Mailing address
5535 Carlisle Ave
Missouri City, TX 77459-2184
Phone (346) 500-5356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346881463 | Other | TX | NPI |
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- Matthew C NG
- David Cao Nguyen
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All providers in Lake Jackson, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.