MARISA SUPPATKUL (NPI# 1306964739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306964739 |
| Entity Type | Individual |
| Full Name | MARISA SUPPATKUL |
| Credential | M.D. |
| Practice Address |
11000 Richmond Ave Suite 330 Houston TX 77042-4776 |
| Mailing Address |
4916 Spruce St Bellaire TX 77401-4026 |
| Practice Telephone | 7139740879 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
M2831 | TX | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
M2831 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
11000 RICHMOND AVE SUITE 330 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77042-4776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841234002 | Xiaoqing Sheila Liu | Psychiatry & Neurology | 11000 Richmond Ave, Suite 330, Houston, TX 77042-4776 | 2006-06-16 |
| 1215351721 | Sarah Rossmiller | Counselor | 11000 Richmond Ave, Suite 330, Houston, TX 77042-4776 | 2014-02-05 |
| 1760520597 | Edward C. Fallick | Psychiatry & Neurology | 11000 Richmond Ave, #330, Houston, TX 77042-4700 | 2007-02-02 |
| 1073697744 | Matthew Lee Spears | Marriage & Family Therapist | 11000 Richmond Ave, Suite #330, Houston, TX 77042-4776 | 2006-10-25 |
| 1104915628 | Barbara Hulda Lachar | Psychologist | 11000 Richmond Ave, Suite 330, Houston, TX 77042-4776 | 2006-10-12 |
| 1932215282 | Charla Faith Smith | Marriage & Family Therapist | 11000 Richmond Ave, Suite 330, Houston, TX 77042-4776 | 2006-08-21 |
| 1992819510 | Loyd Agra | Counselor | 11000 Richmond Ave, Ste. 330, Houston, TX 77042-4776 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823208 | Carlton Petties II | Registered Nurse | 2424 Willcrest Drive, 110, Houston, TX 77042 | 2020-05-21 |
| 1922566645 | Crystal Ann White | Registered Nurse | 2424 Wildcrest Suite 110, Houston, TX 77042 | 2019-03-12 |
| 1558825158 | Egheosemene Ebadan | Registered Nurse | 2424 Wilcrest Drive, Suite 110, Houston, TX 77042 | 2019-01-28 |
| 1225510670 | Adiba Maureen Agbu | Registered Nurse | 2424 Wilcrest Drive 110, Houston, TX 77042 | 2018-09-02 |
| 1023590460 | Ashlyn Nicole Parks | Licensed Vocational Nurse | 110, 2424 Wilcrest Dr, Houston, TX 77042 | 2018-09-01 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1194225011 | Delores Sublett | Registered Nurse | 9797 Meadowglen 1013, Houston, TX 77042 | 2018-02-16 |
| 1073012068 | Brandon C. Cervantes | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd. Ste. 300, Houston, TX 77042 | 2018-02-06 |
| 1851805782 | Ideal Dental of Westchase Pllc | Dentist | 2550 Citywest Blvd, Suite 300, Houston, TX 77042 | 2017-11-30 |
| 1851814131 | Elizabeth Kaluanya | Nurse Practitioner | 9850 Meadowglen Ln Apt 142, Houston, TX 77042 | 2017-07-19 |
| Find all providers in zip 77042 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
| 1124530936 | Elisabeth Netherton Md LLC | Psychiatry & Neurology | 2901 Wilcrest Dr Ste 520, Houston, TX 77042-6073 | 2017-11-02 |
| 1407374036 | Uiu Advanced Clinical Services Pllc | Psychiatry & Neurology | 7373 Ardmore St #1352 1352, Houston, TX 77054 | 2017-09-04 |
| 1174053466 | Ams Health and Wellness Consultants, LLC | Psychiatry & Neurology | 5851 San Felipe St Ste 425, Houston, TX 77057-8018 | 2017-06-19 |
| 1447609052 | Darren Fred | Psychiatry & Neurology | 17629 El Camino Real Ste 115, Houston, TX 77058-6004 | 2016-06-06 |
| 1144676156 | Omar David Gonzales | Psychiatry & Neurology | 1941 East Rd Ste 2100, Houston, TX 77054-6010 | 2016-05-09 |
| 1053765107 | Marangell and Al Jurdi, Pllc | Psychiatry & Neurology | 24 Greenway Plz Ste 2020, Houston, TX 77046-2445 | 2016-04-14 |
| 1932572245 | Franklin Gittess | Psychiatry & Neurology | 10302 Scofield Ln, Houston, TX 77096-5312 | 2015-11-09 |
| 1891166518 | Vibrant Comprehensive Services LLC | Psychiatry & Neurology | 3707 Cypress Creek Pkwy, Suite R, Houston, TX 77068-3526 | 2015-10-08 |
| 1922485788 | Arianne Suarez Lago | Psychiatry & Neurology | 2026 Wirt Rd Ste 200, Houston, TX 77055-1626 | 2015-04-30 |
| Find all providers in HOUSTON | ||||
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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.