Senior Psychological Care Sa, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SENIOR PSYCHOLOGICAL CARE SA, LLC

Practice address

4314 Yoakum Blvd
Houston, TX 77006-5818

Phone

(713) 850-0049

Fax

(713) 850-0036

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leo James Borrell, M.D.

Title

President

Phone

(713) 850-0049

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1811943319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065818",
            "telephone_number": "713-850-0049",
            "fax_number": "713-850-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 YOAKUM BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065818",
            "telephone_number": "713-850-0049",
            "fax_number": "713-850-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PSYCHOLOGICAL CARE SA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BORRELL",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-850-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178774902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Psychological Care Dallas, LLC
• Senior Psychological Care I, LLC
• Senior Psychological Care LLC (Houston Psychiatric Services)
• Senior Psychological Care Sa I, LLC
• Senior Psychological Care Sa LLC
• Senior Psychological Care, LLC (Houston Psychiatric Services)
• Senior Retreat LLC (Senior Community Center)
• Senior Social Center LLC
• Senior Social Center, LLC
• Senior Support Services, Inc. (Garden Oaks Adult Activity Center)

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.