MR. BRENDON GAEL ROATCH-CARDENAS


Address: 2175 Winrock Blvd, Houston, TX 77057-4000
Phone: 7133766092

MR. BRENDON GAEL ROATCH-CARDENAS (NPI# 1265947261) 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) 1265947261
Entity Type Individual
Full Name MR. BRENDON GAEL ROATCH-CARDENAS
Other Name MR. BRENDON GAEL O'HARA
Credential PSYCHOLOGIST
Practice Address 2175 Winrock Blvd
Houston
TX 77057-4000
Practice Telephone 7133766092
Practice Fax Number 7133766092
Mailing Telephone 7133766092
Enumeration Date 2017-12-13
Last Update Date 2017-12-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers
N 273R00000X Psychiatric Unit Hospital Units
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 2175 WINROCK BLVD
City HOUSTON
State TX
Zip Code 77057-4000

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790341261 Ann Caballero Psychologist 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 2019-05-10
1104314533 Kelly Nicole Banneyer Psychologist 6701 Fannin St Ste 1630, Houston, TX 77030-2615 2018-05-01
1679086615 Houston Psychology and Wellness, Pllc Psychologist 1111 North Loop W Ste 820, Houston, TX 77008-4715 2017-11-13
1467824839 Stewart Pisecco Psychologist 2015 Swift Blvd, Houston, TX 77030-1213 2015-10-26
1578969655 Clear Lake Children's Center Psychologist 16815 Royal Crest Dr Ste 160, Houston, TX 77058-2534 2014-11-17
1063661569 Kelley Martin Williams Psychologist 16441 Space Center Blvd, Suite C-100, Houston, TX 77058 2008-09-09
1417090010 Melanie Yard Gregg Psychologist 3100 Weslayan St Ste B, Houston, TX 77027-5727 2007-02-14
1720174253 Nannette Devon Williams Psychologist 7007 North Frwy Suite 300, Houston, TX 77067 2006-10-04
1922643667 Alyzae Karim Psychologist 3730 Kirby Dr Ste 800, Houston, TX 77098-3982 2019-11-15
1740752476 Real Talk LLC Psychologist 7670 Woodway Dr Ste 360, Houston, TX 77063-6500 2018-12-19
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Competitor

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City HOUSTON
Zip Code 77057

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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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