DOCTHERESE PLLC


Address: 6812 Fair Meadows Dr, N Richlnd Hls, TX 76182-7611
Phone: 8172286819

DOCTHERESE PLLC (NPI# 1023432481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023432481
Entity Type Organization
Organization Name DOCTHERESE PLLC
Practice Address 6812 Fair Meadows Dr
N Richlnd Hls
TX 76182-7611
Practice Telephone 8172286819
Practice Fax Number 8668012988
Mailing Telephone 8172286819
Mailing Fax Number 8668012988
Enumeration Date 2014-02-05
Last Update Date 2014-02-05
Authorized Official Name DR. THERESE ADAMIEC (SOLE MEMBER)
Authorized Official Telephone 8172286819
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
23197 TX Behavioral Health & Social Service Providers

Office Location

Street Address 6812 FAIR MEADOWS DR
City N RICHLND HLS
State TX
Zip Code 76182-7611

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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition]

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NPI Name Taxonomy Address Enumeration
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1508387226 Ipyana Anyelwisye Psychologist 3636 Short Horn Ln, Round Rock, TX 78665 2017-07-03
1609304195 Gale D Huddleston Psychologist 3414 Zephyr Glen Way, Houston, TX 77084-7090 2017-05-26
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1275827529 Peopleschoice Healthcare Psychologist 12605 Cobble Springs Dr, Pearland, TX 77584-6717 2011-06-04
1891086997 Callie Commerleathy Young Psychologist 622 Janisch Rd Trlr 4a, Houston, TX 77018-2263 2011-04-22
1114221611 Mimi H. Wright Psychologist 2100 County Road 4145, Cranfills Gap, TX 76637-4550 2010-12-27
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Competitor

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City N RICHLND HLS
Zip Code 76182

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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