AMANECER PSYCHOLOGICAL SERVICES (NPI# 1356435903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356435903 |
| Entity Type | Organization |
| Organization Name | AMANECER PSYCHOLOGICAL SERVICES |
| Practice Address |
6044 Gateway East Suite 405 El Paso TX 79905 |
| Practice Telephone | 9157795600 |
| Practice Fax Number | 9157795605 |
| Mailing Telephone | 9157795600 |
| Mailing Fax Number | 9157795605 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RODOLFO BASURTO (PRESIDENT) |
| Authorized Official Telephone | 9157795600 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM MEDICAID | NM600035 | 01 |
| TX | BCBS OF TEXAS | 0046HQ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679901334 | Amanecer Psychological Services | Counselor | 1219 Barranca Dr, El Paso, TX 79935-4601 | 2013-10-16 |
| 1639373566 | Amanecer Psychological Services | Social Worker | 6044 Gateway Blvd E Ste 405, El Paso, TX 79905-2037 | 2007-06-13 |
| Street Address |
6044 GATEWAY EAST SUITE 405 |
| City | EL PASO |
| State | TX |
| Zip Code | 79905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598219818 | Danny Ray Garcia | Hearing Instrument Specialist | 6044 Gateway East, Suite 301, El Paso, TX 79905 | 2016-08-04 |
| 1740366921 | Rebecca Bilbe | Counselor | 6044 Gateway East, Suite 405, El Paso, TX 79905 | 2006-10-31 |
| 1407942204 | Timothy Coleman | Counselor | 6044 Gateway East, Suite 405, El Paso, TX 79905 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909600 | Maria Ethel Aguirre Flores | Student in an Organized Health Care Education/Training Program | 4801 Alberta Av., El Paso, TX 79905 | 2020-07-17 |
| 1720549975 | Jo-anna Palma | Student in an Organized Health Care Education/Training Program | 517 Firstwood Place, El Paso, TX 79905 | 2019-03-29 |
| 1255840500 | Americas Medical Billing Firm LLC | Spec/Tech, Health Info | 6090 Surety Dr Ste 105, El Paso, TX 79905 | 2017-09-28 |
| 1720500184 | Zip Zap It Solutions, LLC | Contractor | 6044 Gateway East Suite 429, El Paso, TX 79905 | 2017-07-07 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1467823849 | Kristin Marie Giroux | Registered Nurse | 4800 Alberta Ave # Msc41013, El Paso, TX 79905 | 2015-10-12 |
| 1710353255 | Estela Santos | Social Worker | 3812 Pera Avenue, El Paso, TX 79905 | 2015-08-19 |
| 1649652223 | Martina Torres | Counselor | 7722 North Loop, El Paso, TX 79905 | 2015-06-19 |
| 1710388681 | Charles R De Jesus Morales | Radiology | 5001 El Paso Drive Csb-a02, Ttuhsc Radiology Dpt., El Paso, TX 79905 | 2014-09-10 |
| Find all providers in zip 79905 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048417 | Marissa L Benners | Psychologist | 3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 | 2020-09-22 |
| 1235741778 | Capital Area Psychological & Evaluation Services, Pllc | Psychologist | 1715 W Fm 1626 Ste 200, Manchaca, TX 78652-3549 | 2020-08-17 |
| 1396354718 | Tarrah Mitchell | Psychologist | 3918 125th St, Lubbock, TX 79423-8906 | 2020-07-31 |
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1396231064 | Crystal Gayle | Psychologist | 3626 N Hall St Ste 550, Dallas, TX 75219-5105 | 2018-07-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.