Vericare, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

VERICARE, P.C.

Doing business as

Vericare

Practice address

1011 Mainland Center Dr
Texas City, TX 77591-1402

Phone

(800) 257-8715

Fax

(800) 819-1655

NPI assigned

May 4, 2006

Reactivated

Aug 8, 2007

Last updated

Jul 10, 2017By 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

Melissa King

Title

Director, Credentialing Enrollment

Phone

(800) 370-3651

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Vericare Doing business as

Locations (25 of 73)

Practitioners 22

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.

• Sheri Albertson, P.T.

  • Physical Therapist
  • Austin, TX
  • NPI 1215146394
  NPD (past)
• Donald J. Brix, PHD

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1154321149
  NPD (past)
• Joyce J. Carr, MASTERS DEGREE

  • Lodging Provider
  • Dallas, TX
  • NPI 1619962123
  NPD (past)
• Nancy C. Davenport

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • San Antonio, TX
  • NPI 1134275076
  NPD (past)
• Clifford Raymond Fagan, LCSW CCM

  • Clinical Social Worker
  • Irving, TX
  • NPI 1053345553
  NPD (past)
• Florence Olabisi Falola, NP

  • Nurse Practitioner
  • Austin, TX
  • NPI 1306818679
  NPD (past)
• Ailey Ann Folsom, RN, FNP-C

  • Family Nurse Practitioner
  • Joshua, TX
  • NPI 1578557005
  NPD (past)
• Gail Elaine Johnson

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1891710927
  NPD (past)
• Ginger Marie Kinsey, PH.D.

  • Clinical Psychologist
  • Harker Heights, TX
  • NPI 1164463865
  NPD (past)
• Brent Little

  • Physical Therapist
  • Alto, TX
  • NPI 1356582605
  NPD (past)
• Nola Litwins, PH.D.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1386698306
  NPD (past)
• Brandi C Malone, FNP-C

  • Nurse Practitioner
  • Tyler, TX
  • NPI 1679855308
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1235187451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAINLAND CENTER DR",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911402",
            "telephone_number": "800-257-8715",
            "fax_number": "800-819-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERICARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2017-07-10",
        "deactivation_date": "2007-04-11",
        "reactivation_date": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING ENROLLMENT",
        "authorized_official_telephone_number": "800-370-3651"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136136213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3582",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vericare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Utmb Regional Maternal and Child Health Program
• Charles Edward Vallier, PHD
• Jija Varghese, MSN,RN,FNP-C
• Bianca Velazquez
• Anastasia Yamira Venegas, REGISTERED NURSE
• Vickie Taylor Community Health Clinic
• Villa del Mar at Mainland Center (The Rio at Mainland Center)
• Visionary Mental Health (Texas Care Texas City)
• Long Van Vu, OD
• Huy Q Vuong, DDS

• Clinical Psychologist in Texas City, TX
• Providers in Texas City, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.