ANGELIQUE TRASK-TATE (NPI# 1053712232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053712232 |
| Entity Type | Individual |
| Full Name | ANGELIQUE TRASK-TATE |
| Credential | PH.D., LSSP |
| Practice Address |
17030 Nanes Dr #107b Houston TX 77090-2503 |
| Practice Telephone | 5042368096 |
| Mailing Telephone | 5042368096 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 36431 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
36431 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NONE | NOT APPLICABLE | 01 |
| Street Address |
17030 NANES DR #107B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383087 | Susan Gardner | Pediatrics | 17030 Nanes Dr, 105, Houston, TX 77090-2503 | 2005-08-15 |
| 1578018990 | Danielle Burgess | Nurse Practitioner | 17030 Nanes Dr, Houston, TX 77090 | 2016-08-16 |
| 1568867513 | Holly Colon | Psychologist | 17030 Nanes Dr, 107b, Houston, TX 77090-2503 | 2014-10-31 |
| 1427360197 | Ahmad R.pacha M.d.p.a. | Internal Medicine | 17030 Nanes Dr, Suite 207, Houston, TX 77090-2503 | 2010-07-09 |
| 1881926111 | Nora Pacha | Chiropractor | 17030 Nanes Dr, Suite 207, Houston, TX 77090-2503 | 2010-02-11 |
| 1669612040 | Anna Maria Buenaventura and Anand Balasubramanian LLC | Specialist | 17030 Nanes Dr, Suite106, Houston, TX 77090-2503 | 2009-02-25 |
| 1427202845 | Anand Balasubramanian, M.d., P.a. | Internal Medicine | 17030 Nanes Dr, Suite 208, Houston, TX 77090-2503 | 2008-11-12 |
| 1982855458 | Meditonics Corporation | Internal Medicine | 17030 Nanes Dr, Houston, TX 77090-2503 | 2008-10-02 |
| 1366618399 | Saurabh Suresh Moonat | Family Medicine | 17030 Nanes Dr, Ste 211, Houston, TX 77090-2503 | 2008-04-30 |
| 1902075070 | Moonat Medical Assoc Inc | Obstetrics & Gynecology | 17030 Nanes Dr, Suite 211, Houston, TX 77090-2503 | 2008-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1740818921 | Peter Simione | Psychologist | 7887 San Felipe St Ste 248, Houston, TX 77063-1621 | 2020-04-01 |
| 1316573629 | Tim Weissman | Psychologist | 9144 Spring Branch Dr Ste 103, Houston, TX 77080-7427 | 2020-03-18 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1922649334 | Amanda Rae Richter | Psychologist | 17030 Nanes Dr Ste 209, Houston, TX 77090-2533 | 2019-10-07 |
| 1962062018 | Michael Ralph Winters | Psychologist | 3435 Branard St Ste 202, Houston, TX 77027-6031 | 2019-06-19 |
| 1265998009 | Winsome Health Clinical Management LLC | Psychologist | 2925 Richmond Ave Ste 1200, Houston, TX 77098-3143 | 2019-02-18 |
| 1679046197 | Denis T Flanigan | Psychologist | 2211 Norfolk St Ste 206, Houston, TX 77098-4030 | 2019-01-08 |
| 1487129409 | Anita Payan | Psychologist | 6655 Travis St Ste 880, Houston, TX 77030-1344 | 2018-10-05 |
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| 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.