Engedi Life Care, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

201504 Issued in TX

Legal business name

ENGEDI LIFE CARE, PLLC

Practice address

201 S Lakeline Blvd Ste 103
Cedar Park, TX 78613-2719

Phone

(512) 528-5356

NPI assigned

Oct 4, 2011

Last updated

Sep 26, 2024By 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

Pamela A Bermender, LMFTNPI 1104179233

Title

Therapist & Sole Owner

Phone

(512) 201-0741

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Pamela A Bermender, LMFT

  • Marriage & Family Therapist
  • Cedar Park, TX
  • NPI 1104179233
  Medicare reassignment NPD Authorized official
• Lauren Walter McClain, M.A., M.A., LMFT

  • Marriage & Family Therapist
  • Opelika, AL
  • NPI 1508077579
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1508140971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N LAKELINE BLVD STE 170-1515",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413504",
            "telephone_number": "512-201-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LAKELINE BLVD STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132719",
            "telephone_number": "512-528-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGEDI LIFE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "BERMENDER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST & SOLE OWNER",
        "authorized_official_telephone_number": "512-201-0741",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "201504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT LICENSE",
            "identifier": "201504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Murphy Emissah
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• Endeavor Rehab Center Inc
• Chelsea England, LMT
• Gregory Scott Engle, D.C.
• Mendy Kay Engler, AU.D., CCC-A
• Suzy Enriquez
• ENT Specialists of Austin PA

• Community/Behavioral Health Agency in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.