Geriatric Evaluation and Mental Health Services PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GERIATRIC EVALUATION AND MENTAL HEALTH SERVICES PLLC

Practice address

12012 Wickchester LN
Suite 550
Houston, TX 77079-1229

Phone

(832) 448-2800

Fax

(832) 448-2801

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Angel Thornell

Title

Credentialing Specialist

Phone

(832) 448-2800

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Senior Connections of Austin Doing business as

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1811935265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 WICKCHESTER LN",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791229",
            "telephone_number": "832-448-2800",
            "fax_number": "832-448-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 WICKCHESTER LN",
            "address_2": "SUITE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791229",
            "telephone_number": "832-448-2800",
            "fax_number": "832-448-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC EVALUATION AND MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "THORNELL",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "832-448-2800"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CJ2265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Connections of Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Matthews Geri Orimateo
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• Geriatric and Primary Care Services, PLLC
• Geriatric Assessment Center LLC
• Geriatric Associates of America, P.a.
• Geriatric Visiting Physicians
• Geriatric Visiting Practitioners Inc
• Gericare Behavioral Health PLLC
• Gerid HIV PLLC
• Rama Gerig, LMSW

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.