ENVISION MENTAL HEALTH AND WELLNESS PLLC (NPI# 1053973404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053973404 |
| Entity Type | Organization |
| Organization Name | ENVISION MENTAL HEALTH AND WELLNESS PLLC |
| Practice Address |
12915 Jones Maltsberger Rd Ste 102 San Antonio TX 78247-4255 |
| Practice Telephone | 2103727448 |
| Mailing Telephone | 2102458202 |
| Mailing Fax Number | 2103388595 |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | DR. PAMELA OZOWALU (MANAGING PARTNER) |
| Authorized Official Telephone | 2102458202 |
| Authorized Official Credential | DNP, APRN, PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12915 JONES MALTSBERGER RD STE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114040961 | Pamela Ozowalu | Nurse Practitioner | 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX 78247-4255 | 2007-04-09 |
| 1447883335 | Huynh Nelson | Registered Nurse | 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX 78247-4255 | 2020-02-19 |
| 1295299808 | Advanced Internal Medicine Practice Pllc | Internal Medicine | 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX 78247-4255 | 2019-01-28 |
| 1598243479 | Insight Mental Wellness P A | Psychiatry & Neurology | 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX 78247-4255 | 2018-08-01 |
| 1558881169 | Gloria Oluwatoyin Tolani | Psychiatry & Neurology | 12915 Jones Maltsberger Rd Ste 102, San Antonio, TX 78247 | 2017-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643968 | Britanni O Greene | Nurse Practitioner | 10650 Culebra Rd # 104-548, San Antonio, TX 78251-4949 | 2020-09-10 |
| 1356955462 | Saeid Nekoueian | Nurse Practitioner | 19506 Flair Oak, San Antonio, TX 78258-3648 | 2020-09-04 |
| 1649806282 | Monique Straker | Nurse Practitioner | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-03-16 |
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1023536612 | Olena Shvets | Nurse Practitioner | 311 Camden St # 510, San Antonio, TX 78215-2012 | 2017-09-02 |
| 1528598620 | Dianne Lavin LLC | Nurse Practitioner | 503 Benedict Ct, San Antonio, TX 78258-2545 | 2017-06-13 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1215476940 | Vita T Chung | Nurse Practitioner | 8122 Datapoint Dr Ste 1000, San Antonio, TX 78229-3273 | 2017-02-14 |
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
Please comment or provide details below to improve the information on ENVISION MENTAL HEALTH AND WELLNESS PLLC.
| 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.