HICKORY TRAIL HOSPITAL, L.P. (NPI# 1467965905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467965905 |
| Entity Type | Organization |
| Organization Name | HICKORY TRAIL HOSPITAL, L.P. |
| Other Organization Name | HICKORY TRAIL HOSPITAL |
| Practice Address |
2000 Old Hickory Trl Desoto TX 75115-2242 |
| Practice Telephone | 9722987323 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Authorized Official Name | STEVE FILTON (VP) |
| Authorized Official Telephone | 6107683482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PART B | NONE | 01 |
| Other Name | Type Code |
|---|---|
| Hickory Trail Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205999232 | Hickory Trail Hospital, L.p. | Psychiatric Hospital | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2006-12-19 |
| Street Address |
2000 OLD HICKORY TRL |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902837156 | Interhealth, Inc | Psychiatric Hospital | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2006-07-05 |
| 1528573300 | Tabitha Michelle Hipp | Counselor | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2017-12-03 |
| 1780094649 | Psych Help Pllc | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2014-04-30 |
| 1669898292 | Mental Health Services, Pllc | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2014-03-06 |
| 1043487259 | Farida .yousuf.ali, M.d., Pa. | Psychiatry & Neurology | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2008-05-15 |
| 1467670679 | Marie Emeline Benjamin | Counselor | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2007-04-23 |
| 1205999232 | Hickory Trail Hospital, L.p. | Psychiatric Hospital | 2000 Old Hickory Trl, Desoto, TX 75115-2242 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1730688300 | Neuropsychiatric and Behavioral Consulting Pllc | Psychiatry & Neurology | 4888 Loop Central Dr Ste 510, Houston, TX 77081-2226 | 2018-02-08 |
| 1902241029 | Travis Noble Nance | Psychiatry & Neurology | 1 Criminal Justice Dr, Conroe, TX 77301-1491 | 2013-05-02 |
| 1215183512 | David Allan Williamson | Psychiatry & Neurology | 1 Riverway Ste 600, Houston, TX 77056-1993 | 2008-08-18 |
| 1356967574 | Regions Integrated Health & Wellness LLC | Psychiatry & Neurology | 1937 Texas Pkwy, Missouri City, TX 77489-3121 | 2020-06-23 |
| 1699241513 | Neuro Psychiatric & Behavioral Rehabilitation Practitioners Associatio | Psychiatry & Neurology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2018-10-18 |
| 1154839470 | Restore Brain, Pllc | Psychiatry & Neurology | 5207 Heritage Ave, Colleyville, TX 76034-5915 | 2018-01-22 |
| 1861856114 | Symedic Pllc | Psychiatry & Neurology | 2245 Texas Dr, Suite 300, Sugar Land, TX 77479-1679 | 2016-04-12 |
| 1609240977 | Psych Md Pllc | Psychiatry & Neurology | 1029 Long Prairie Rd, Suite D, Flower Mound, TX 75022-4243 | 2015-11-24 |
| 1700265873 | Gonzalo A Aillon Md Pllc | Psychiatry & Neurology | 400 S Zang Blvd, Suite 802, Dallas, TX 75208-6643 | 2015-05-22 |
| 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.