TRACIE DEJARNETTE-HOLLY (NPI# 1699786681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699786681 |
| Entity Type | Individual |
| Full Name | TRACIE DEJARNETTE-HOLLY |
| Credential | MD |
| Practice Address |
410 Pierce St Ste 103 Houston TX 77002-8749 |
| Practice Telephone | 8887927122 |
| Mailing Telephone | 8887927122 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
K9516 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K9516 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
K9516 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 029799603 | 05 |
| Street Address |
410 PIERCE ST STE 103 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-8749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659669315 | Christopher Scott Healey | Pediatrics | 410 Pierce St Ste 103, Houston, TX 77002-8749 | 2011-07-15 |
| 1619274354 | Jsa Health Texas, Pllc | Psychiatry & Neurology | 410 Pierce St Ste 103, Houston, TX 77002-8749 | 2011-02-15 |
| 1801058672 | Gonzalo Jose Perez-garcia | Psychiatry & Neurology | 410 Pierce St Ste 103, Houston, TX 77002-8749 | 2008-07-01 |
| 1982714424 | Wanda Kay Terry | Psychiatry & Neurology | 410 Pierce St Ste 103, Houston, TX 77002-8749 | 2006-08-30 |
| 1093727943 | Avrim Brett Fishkind | Psychiatry & Neurology | 410 Pierce St Ste 103, Houston, TX 77002-8749 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
| 1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
| 1255727632 | Brandon Pita Chu | Psychiatry & Neurology | 1941 East Rd Ste 3236, Houston, TX 77054-6010 | 2015-04-12 |
| 1689913279 | United Psychiatry Institute, LLC | Psychiatry & Neurology | 9898 Bissonnet St Ste 362, Houston, TX 77036-8025 | 2013-02-03 |
| 1538411541 | Jeremy Edward Lankford | Psychiatry & Neurology | 6431 Fannin St # 3.153, Houston, TX 77030-1501 | 2012-10-15 |
| 1114244258 | Beverly J Lallande Md Pa | Psychiatry & Neurology | 6945 Burgess St, Houston, TX 77021-2011 | 2010-04-29 |
| 1154553493 | Liliana Lopez-moreno | Psychiatry & Neurology | 12667 Bissonnet Street, Houston, TX 77099 | 2009-08-20 |
| 1962607374 | Edwards Usher Mcreynolds | Psychiatry & Neurology | 1640 Norfolk St # B, Houston, TX 77006-5229 | 2007-06-16 |
| 1205030020 | Jenee' Gibson Stubbs | Psychiatry & Neurology | 2914 Meadowglen Cv, Houston, TX 77082-6866 | 2007-06-14 |
| 1518168996 | Gerald Busch M.d.p.a. | Psychiatry & Neurology | 6550 Mapleridge St Ste 210, Houston, TX 77081-4647 | 2007-05-31 |
| 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.