JENNIFER URBANI PREMO (NPI# 1083229611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083229611 |
| Entity Type | Individual |
| Full Name | JENNIFER URBANI PREMO |
| Credential | EDDIAGNOSTICIANMED |
| Practice Address |
4125 Beechwood Ln Dallas TX 75220-1905 |
| Practice Telephone | 2145326726 |
| Mailing Telephone | 2145326726 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | TX | Agencies | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
TX | Ambulatory Health Care Facilities | |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
TX | Ambulatory Health Care Facilities | |
| N | 251S00000X | Community/Behavioral Health | TX | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004863 | Jennifer Premo | Case Manager/Care Coordinator | 114 N Court Ave, Gaylord, MI 49735-1469 | 2019-07-03 |
| Street Address |
4125 BEECHWOOD LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75220-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1205379807 | Belamour Home Care | Home Health | 9711 Dale Crest Dr. #231, Dallas, TX 75220 | 2016-11-30 |
| 1760828404 | Chrisbibi Homehealth Agency Inc | Nursing Care | 2514 Community Dr Suite 107, Dallas, TX 75220 | 2013-05-21 |
| 1841540697 | Suzanne Eades | Psychologist | 9407 Midway Road, Dallas, TX 75220 | 2012-09-19 |
| 1215210141 | Susan Pham | Pharmacist | 3732 W. Northwest Hwy, Dallas, TX 75220 | 2011-09-27 |
| 1740507573 | Mifamilia Medical, Pllc | General Practice | 2445 W Northwest Hwy 105, Dallas, TX 75220 | 2010-05-04 |
| 1306173273 | Kevin Khoi Nguyen | Pharmacist | 3732 W Northwest Highway, Dallas, TX 75220 | 2009-11-12 |
| 1154554434 | Amanda L Carlile | Nurse Practitioner | 3978 Beechwood Ln, Dallas, TX 75220 | 2009-09-02 |
| 1417180373 | Lauri Ruth Jacoby-greenberg | Speech-Language Pathologist | 9741 Meadowbrook Dr., Dallas, TX 75220 | 2009-08-26 |
| 1114164480 | Hamid Reza Kashani Madjd | Dentist | 3701 W Northwest Highway, Suite # 306, Dallas, TX 75220 | 2009-01-08 |
| Find all providers in zip 75220 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786793 | Nothing Just Happens Incorporated | Clinic/Center | 1618 Driftwood Dr, Dallas, TX 75224-3705 | 2017-05-05 |
| 1184054843 | Holman Family Services | Clinic/Center | 2705 Swiss Ave Ste 110, Dallas, TX 75204-5923 | 2013-11-17 |
| 1871735373 | Noelle K. Mcdonald, Ph.d. | Clinic/Center | 6350 Lyndon B Johnson Fwy Ste 151, Dallas, TX 75240-6408 | 2009-03-30 |
| 1225297633 | Hope Community Support | Clinic/Center | 1012d Philadelphia Church Rd, Dallas, NC 28034-7684 | 2008-06-02 |
| 1740477280 | Juliette Fowler Homes, Inc. | Clinic/Center | 1234 Abrams Rd, Dallas, TX 75214-4850 | 2007-09-28 |
| 1336266733 | Alexander Youth Network | Clinic/Center | 1904 Dallas Cherryville Hwy, Dallas, NC 28034-7706 | 2007-03-23 |
| 1023643947 | Creative Change Counseling | Clinic/Center | 10504 Bruton Rd, Dallas, TX 75217-3105 | 2020-03-11 |
| 1366082240 | Carbery Center for Child Development Pllc | Clinic/Center | 6060 N Central Expy Ste 222, Dallas, TX 75206-5318 | 2020-01-08 |
| 1528529625 | Empowered Maturity Pllc | Clinic/Center | 13355 Noel Rd Ste 1100, Dallas, TX 75240-6694 | 2019-03-29 |
| 1346705449 | Copenhagen Counseling, Pllc | Clinic/Center | 10300 N Central Expy Ste 280, Dallas, TX 75231-8666 | 2019-02-04 |
| Find all providers in DALLAS | ||||
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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.