CENTRAL PINES PSYCHOLOGICAL ASSOCIATES PLLC (NPI# 1811189806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811189806 |
| Entity Type | Organization |
| Organization Name | CENTRAL PINES PSYCHOLOGICAL ASSOCIATES PLLC |
| Practice Address |
1011 Alley A St Bastrop TX 78602-3240 |
| Mailing Address |
Po Box 1003 Bastrop TX 78602-1003 |
| Practice Telephone | 5125291538 |
| Practice Fax Number | 2105796582 |
| Mailing Telephone | 5125291538 |
| Mailing Fax Number | 2105796582 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | JAN ULRIK MICHELL (BILLING MANAGER) |
| Authorized Official Telephone | 2104734729 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
33431 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1011 ALLEY A ST |
| City | BASTROP |
| State | TX |
| Zip Code | 78602-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013116607 | Stacey L. Cunningham | Counselor | 1011 Alley A St, Bastrop, TX 78602-3240 | 2007-07-13 |
| 1144651399 | Lakeisha Brown | Social Worker | 1011 Alley A St, Bastrop, TX 78602-3240 | 2013-12-12 |
| 1033367073 | Layla Lorrain Nations | Counselor | 1011 Alley A St, Bastrop, TX 78602-3240 | 2008-09-03 |
| 1386806586 | Susan Lynn Farris | Social Worker | 1011 Alley A St, Bastrop, TX 78602-3240 | 2008-06-28 |
| 1225296304 | Maria A Sandra Brady | Counselor | 1011 Alley A St, Bastrop, TX 78602-3240 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
| 1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
| 1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
| 1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
| 1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
| 1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
| 1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
| 1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
| Find all providers in zip 78602 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on CENTRAL PINES PSYCHOLOGICAL ASSOCIATES PLLC.
| 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.