Psychiatric Services of Houston and Associates I, PLLC
Organization Active NPI Psychiatry Physician · Houston, TX
NPI 1487940599 · NPPES record last updated Dec 13, 2018
Key facts
- NPI
- 1487940599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- PSYCHIATRIC SERVICES OF HOUSTON AND ASSOCIATES I, PLLC
- 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
- Yes
- Parent organization (as reported)
- PSYCHIATRIC SERVICES, PLLC
Authorized official
- Name
- Randall J. Frapart, CPA
- Title
- Chief Financial Officer
- Phone
- (713) 850-0049
Practitioners 14
-
Chineye Blessing Aghado, PMHNP
-
Angela Marie Brooks, FNP-C
-
Elisha A Calcote, NP
-
Tayfun Karakoc, M.D.
-
Daylon Long, FNP
-
Melody L Claiborne, APRN
-
Terri Jo Clark, NP
-
Cheryl Spell, FNP
-
Boris Rubashkin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111109000083 | TX | Part B Supplier - Clinic/Group Practice | 4486827391 | Receives reassigned benefits from 13 practitioners |
National Provider Directory
- Part of
- Psychiatric Services PLLC
Locations
2001 Cedar Bayou Rd
Baytown, TX 77520
Phone (281) 420-6900
4150 College St
Beaumont, TX 77707
Phone (409) 240-2180
248 Wisteria Ln
#3
El Campo, TX 77437
Phone (979) 648-2628
3730 W Orem Dr
Houston, TX 77045
Phone (832) 405-6245
7499 Stanwick Dr
Houston, TX 77087
Phone (713) 644-8048
12350 Wood Bayou Dr
Houston, TX 77013
Phone (713) 453-0446
2835 Shadowbriar Dr
Houston, TX 77077
Phone (281) 531-0915
11902 Resource Pkwy
Houston, TX 77089
Phone (281) 922-6802
21803 Oak Park Trails Dr
Katy, TX 77450
Phone (281) 398-6662
700 N Herndon Ave
Kirbyville, TX 75956
Phone (409) 423-6111
604 FM 1293 Rd
Kountze, TX 77625
Phone (409) 246-3418
705 N Main St
Lumberton, TX 77657
Phone (409) 755-0100
1810 Old Granger
#1
Taylor, TX 76574
Phone (512) 352-6337
10450 Gosling Rd
The Woodlands, TX 77381
Phone (281) 292-1397
1215 State Highway 124
Winnie, TX 77665
Phone (409) 296-8200
102 N Beech St
Woodville, TX 75979
Phone (281) 973-5237
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | |||
| Psychiatry Physician |
2084P0800X | Yes | ||
| Geriatric Psychiatry Physician |
2084P0805X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
4635 Southwest Fwy Ste 635
Houston, TX 77027-7112
Mailing address
4635 Southwest Fwy Ste 635
Houston, TX 77027-7112
Phone (713) 850-0049
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288310002 | Medicaid | TX | |
| DS3806 | Other | TX | RR MCR |
| 288310003 | Medicaid | TX | |
| 288310005 | Medicaid | TX | |
| 0097WY | Other | TX | BCBS TX |
| 288310001 | Medicaid | TX | |
| 288310004 | Medicaid | TX |
Other providers in Houston, TX
- Psychehope Limited Liability Company
- Psychesync LLC
- Psychiatric and Behavioral Clinic of Houston PLLC
- Psychiatric Services of Houston
- Psychiatric Services of Houston & Associates
- Psychiatric Services, PLLC
- Psychiatry of Texas PLLC
- Psychiatry Relief PLLC
- Psychological Center, LLC
- Psychological Holdings, PLLC
All providers in Houston, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2018. 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.