MR. PETER C SOO (NPI# 1457430050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457430050 |
| Entity Type | Individual |
| Full Name | MR. PETER C SOO |
| Other Name | PETER C SOO |
| Credential | MD |
| Practice Address |
5400 Cypress Ranch Blvd Spicewood TX 78669-6841 |
| Mailing Address |
5400 Cypress Ranch Blvd Spicewood TX 78669 |
| Practice Telephone | 5127516853 |
| Mailing Telephone | 5122640189 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K0383 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TX | 0082KC | 01 |
| AETNA | 7982417 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6836 Bee Caves Rd, Ste 205, Austin, TX 78746 | 5123309507 | 5123309508 |
| Street Address |
5400 CYPRESS RANCH BLVD |
| City | SPICEWOOD |
| State | TX |
| Zip Code | 78669-6841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560899 | Vida Montserrat Canestaro | Behavioral Analyst | 19019 Tx-71, Spicewood, Tx, TX 78669 | 2020-05-19 |
| 1992345490 | Bee Creek Dental Pllc | Dentist | 4900 Bee Creek Rd., Spicewood, TX 78669 | 2020-01-13 |
| 1659879039 | David Guzman | Licensed Vocational Nurse | 840 Cty Rd 420, Spicewood, TX 78669 | 2018-01-31 |
| 1154670685 | Vincent Friedewald | Internal Medicine | 26305 Countryside Dr, Spicewood, TX 78669 | 2012-08-30 |
| 1952553653 | Deborah L. Reyna | Social Worker | 3606 Crosswind Drive, Spicewood, TX 78669 | 2008-10-14 |
| 1033223888 | Gary Sengbusch | Dentist | 20808 Sh71 W, Spicewood, TX 78669 | 2006-08-18 |
| 1033129739 | Gina K Leslie-strack | Occupational Therapist | 191 Spur 191, Suite E, Spicewood, TX 78669 | 2006-08-08 |
| 1497855241 | Rehab Technologies | Durable Medical Equipment & Medical Supplies | 125 Spur 191, Suite E, Spicewood, TX 78669 | 2006-09-22 |
| 1588771000 | Ability Solutions | Durable Medical Equipment & Medical Supplies | 125 Spur 191, Suite E, Spicewood, TX 78669-0637 | 2006-08-23 |
| 1285234468 | Slow Wave, Inc. | Durable Medical Equipment & Medical Supplies | 26100 Countryside Dr, Spicewood, TX 78669-1362 | 2020-10-28 |
| Find all providers in zip 78669 | ||||
| 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 |
|---|---|---|---|---|
| 1710180914 | John Suffern Ford | Psychiatry & Neurology | 515 Coventry Rd, Spicewood, TX 78669-3114 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
| 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.