Senior Psychological Care I, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SENIOR PSYCHOLOGICAL CARE I, LLC

Practice address

4635 Southwest Fwy Ste 635
Houston, TX 77027-7112

Phone

(713) 850-0049

Fax

(713) 627-7302

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Randall J. Frapart, CPA

Title

Chief Financial Officer

Phone

(713) 850-0049

Specialties & licenses 6

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irma Sofia Beltran, PH.D.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1609042340
  Medicare reassignment Care Compare group NPD
• Kevin Mark Correia, PH.D.

  • Clinical Psychologist
  • Beaumont, TX
  • NPI 1194718650
  Medicare reassignment Care Compare group NPD
• Leslie Crossman, PHD

  • Clinical Psychologist
  • Houston, TX
  • NPI 1235241332
  Medicare reassignment Care Compare group NPD
• Molly Davis, LCSW

  • Clinical Social Worker
  • Call, TX
  • NPI 1679293484
  Medicare reassignment Care Compare group NPD
• James Joseph Peters, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
  • NPI 1316715600
  Medicare reassignment Care Compare group NPD
• Cherice Poole, LCSW

  • Clinical Social Worker
  • Pearland, TX
  • NPI 1518377266
  Medicare reassignment Care Compare group NPD
• Cecil Deberal Stimits Jr., LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1225574908
  Medicare reassignment Care Compare group NPD
• Bridgit Annice Williams, LCSW

  • Clinical Social Worker
  • Manvel, TX
  • NPI 1801037445
  Medicare reassignment Care Compare group NPD
• D'Anna Ready, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1316516040
  Medicare reassignment Care Compare group
• Dana Allison Alfaro

  • Professional Counselor
  • Lumberton, TX
  • NPI 1801522321
  Medicare reassignment NPD
• Qattaria L Baker, LPC, LCDC

  • Professional Counselor
  • Houston, TX
  • NPI 1174372973
  Medicare reassignment NPD
• Dawn Lizette Baskin-Turner, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1164549671
  Medicare reassignment NPD

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1245526490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 635",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277112",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 635",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277112",
            "telephone_number": "713-850-0049",
            "fax_number": "713-627-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PSYCHOLOGICAL CARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "FRAPART",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "713-850-0049",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288412401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317954101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314835501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318238801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316711601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR HARRIS",
            "identifier": "DS2752",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0099WY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Psychcare of Dallas, LLC
• Senior Psychcare of San Antonio I, PLLC
• Senior Psychcare of San Antonio, PLLC
• Senior Psychological Care Dallas I, LLC
• Senior Psychological Care Dallas, LLC
• Senior Psychological Care LLC
• Senior Psychological Care Sa I, LLC
• Senior Psychological Care Sa LLC
• Senior Psychological Care Sa, LLC
• Senior Psychological Care, LLC

• Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.