DR. MICKY K GAUTAM (NPI# 1518067602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518067602 |
| Entity Type | Individual |
| Full Name | DR. MICKY K GAUTAM |
| Credential | D.O. |
| Practice Address |
301 Division St Greenville TX 75401-4101 |
| Mailing Address |
301 E Division St Greenville TX 75402 |
| Practice Telephone | 9034533376 |
| Practice Fax Number | 9034541149 |
| Mailing Telephone | 9034533376 |
| Mailing Fax Number | 9034541149 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
L1861 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
301 DIVISION ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922078815 | Glen Oaks Hospital, Inc. | Psychiatric Hospital | 301 Division St, Greenville, TX 75401-4101 | 2006-01-24 |
| 1396164000 | Glen Oaks Hospital, Inc. | Psychiatry & Neurology | 301 Division St, Greenville, TX 75401-4101 | 2014-04-09 |
| 1245656305 | White Ibis Inpatient Services, Pllc | Emergency Medicine | 301 Division St, Greenville, TX 75401-4101 | 2014-03-13 |
| 1902171226 | Nisha Satish Md Pa | Family Medicine | 301 Division St, Greenville, TX 75401-4101 | 2012-03-20 |
| 1417915521 | Ehab M Faheid | Internal Medicine | 301 Division St, Greenville, TX 75401-4101 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| 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 |
|---|---|---|---|---|
| 1518591858 | Awakenings Psychiatric Services, PC | Psychiatry & Neurology | 1010 E North St Ste 1a, Greenville, SC 29601-3166 | 2020-02-25 |
| 1386192540 | Arc Psychiatry LLC | Psychiatry & Neurology | 96 Villa Rd, Greenville, SC 29615-3052 | 2016-09-16 |
| 1467863506 | Allison Mcdade | Psychiatry & Neurology | 2710 Sunset Strip Ste D, Greenville, TX 75402 | 2014-05-12 |
| 1457681025 | Woodlands Medical Clinic Pa | Psychiatry & Neurology | 155 Brozzini Ct, Suite E, Greenville, SC 29615-5340 | 2010-01-05 |
| 1235367822 | Elizabeth Jo Mason | Psychiatry & Neurology | 200 Patewood Dr Ste A100, Greenville, SC 29615 | 2009-06-23 |
| 1972730166 | Raza H. Sayed Md, Pa | Psychiatry & Neurology | 301east Division St, Greenville, TX 75401-4101 | 2009-06-16 |
| 1972738458 | Lance Feldman | Psychiatry & Neurology | 10 Patewood Dr, Suite 130, Greenville, SC 29615-6317 | 2009-05-27 |
| 1497989842 | The Family Wellness Center Pllc | Psychiatry & Neurology | 1025b Director Ct, Greenville, NC 27858-5996 | 2009-05-13 |
| 1699975102 | Nadyah Janine John | Psychiatry & Neurology | 905 Johns Hopkins Dr., Ecu Physicians Psychiatric Medicine, Greenville, NC 27834-7225 | 2007-07-23 |
| 1295930964 | Poinsett Psychiatric Group | Psychiatry & Neurology | 3c Cleveland Ct, Greenville, SC 29607-2414 | 2007-06-20 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
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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.