Medcare Clinics PLLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

L5229 Issued in TX

Legal business name

MEDCARE CLINICS PLLC

Practice address

12828 Willow Ctr
Suite E
Houston, TX 77066-3043

Phone

(281) 893-3656

Fax

(281) 893-3464

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ifeoma N Arene, M.D.NPI 1780642488

Title

Owner

Phone

(281) 893-3656

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Medcare Clinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medcare Clinc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
  • NPI 1386807659
  NPD tax ID

Locations

Practitioners 5

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

• Ifeoma N Arene, MD

  • Psychiatry Physician
  • Houston, TX
  • NPI 1780642488
  Medicare reassignment Authorized official
• Sonia George

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1346907169
  NPD
• Christopher Andrew Koch, PA

  • Physician Assistant
  • Houston, TX
  • NPI 1336686674
  NPD
• Meghan Elizabeth Parker, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1649035320
  NPD
• Payal A Patel, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1568927580
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1609054709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 WILLOW CTR",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663043",
            "telephone_number": "281-893-3656",
            "fax_number": "281-893-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 WILLOW CTR",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663043",
            "telephone_number": "281-893-3656",
            "fax_number": "281-893-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "ARENE",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-893-3656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "L5229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H82278",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157916104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.