PB Behavioral Brazos Valley, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PB BEHAVIORAL BRAZOS VALLEY, LLC

Doing business as

Promises Brazos Valley

Practice address

3550 Normand Dr
College Station, TX 77845-6399

Phone

(979) 218-5916

NPI assigned

Jan 8, 2021

Last updated

Apr 8, 2025By 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

Richard Prickett

Title

Cfo

Phone

(615) 364-1904

Specialties & licenses 2

Addresses

Other names 1

• Promises Brazos Valley Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Dominick S D'Aunno, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1881652436
  NPD (past)
• Faisal Tai, MD

  • Psychiatry Physician
  • Houston, TX
  • NPI 1619381316
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1801484340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 POWELL CT STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275050",
            "telephone_number": "615-567-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NORMAND DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456399",
            "telephone_number": "979-218-5916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673871",
            "country_code": "US",
            "telephone_number": "979-426-0103",
            "fax_number": "979-401-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PB BEHAVIORAL BRAZOS VALLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "PRICKETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-364-1904"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promises Brazos Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Promises Brazos Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Anne Pavlasek, P.T.
• Steven Pavliska, PT
• Kiersten Faith Pawlik, RBT
• Jamie Pawlowski, M.D.
• Mary Payne, LCSW
• PBH Professional Group, P.a. (PATH Brazos Valley Professional Group)
• Peach Creek Alf 1 LLC (Peach Creek Assisted Living Facility)
• Roger Peart, PHARM.D.,R.PH
• Allison Faye Pedersen, MSN, APRN, FNP-BC
• Kevin Y Pei, M.D.

• Substance Abuse Rehabilitation Facility in College Station, TX
• Providers in College Station, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.