EXECUTIVE PSYCHOTHERAPY CENTER OF HOUSTON (NPI# 1831521897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831521897 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE PSYCHOTHERAPY CENTER OF HOUSTON |
| Practice Address |
2646 S Loop W Suite 400 Houston TX 77054-2665 |
| Practice Telephone | 7134327916 |
| Practice Fax Number | 7135817971 |
| Mailing Telephone | 7134327916 |
| Mailing Fax Number | 7135817971 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | MR. KENNETH B. PRATT (CHIEF EXCUTIVE OFFICER) |
| Authorized Official Telephone | 7134327916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2646 S LOOP W SUITE 400 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783819 | Newchannel Incorporated | Durable Medical Equipment & Medical Supplies | 2646 S Loop W, Suite 270 & 270a, Houston, TX 77054-2665 | 2005-07-12 |
| 1174166904 | Brenda Thomas | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-10-24 |
| 1912550112 | Alozie Bright Amayaka | Nurse Practitioner | 2646 S Loop W, Houston, TX 77054-2665 | 2019-07-17 |
| 1124477336 | Siblings Healthcare Solutions LLC | Home Health | 2646 S Loop W, Suite 355, Houston, TX 77054-2665 | 2016-06-08 |
| 1013366335 | Tmc Pain Surgical Center | Clinic/Center | 2646 S Loop W, Suite 140, Houston, TX 77054-2665 | 2016-06-07 |
| 1982079307 | Pediatric Executives | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-12-10 |
| 1053785097 | Ken Pratt | Pediatrics | 2646 S Loop W, Suite 400, Houston, TX 77054-2665 | 2015-11-13 |
| 1740678770 | Demetris A. Green, Sr. Md Pa | Family Medicine | 2646 S Loop W, Suite 220, Houston, TX 77054-2665 | 2014-12-29 |
| 1710384920 | Prestige Transportation Services | Non-emergency Medical Transport (VAN) | 2646 S Loop W, 505g, Houston, TX 77054-2665 | 2014-12-03 |
| 1356746200 | Sunset Labs, LLC | Clinical Medical Laboratory | 2646 S Loop W, Suite 665, Houston, TX 77054-2665 | 2014-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150839 | Victoria Behavioral Services Clinic LLC | Community/Behavioral Health | 16205 Westheimer Rd Ste 100, Houston, TX 77082-1207 | 2020-09-29 |
| 1205441383 | Lei Behavioral Services, LLC | Community/Behavioral Health | 6201 Bonhomme Rd # She266n, Houston, TX 77036-4365 | 2020-09-15 |
| 1588272298 | Better Now LLC | Community/Behavioral Health | 2705 Cohn Arbor Ln, Houston, TX 77007-1292 | 2020-07-20 |
| 1366050049 | Johnson Aba, LLC | Community/Behavioral Health | 17629 El Camino Real Ste 104, Houston, TX 77058-6005 | 2020-07-17 |
| 1457979056 | Unlimited Pathways To Change, LLC | Community/Behavioral Health | 5757 Woodway Dr Ste 300, Houston, TX 77057-1535 | 2020-07-09 |
| 1104441864 | Beyond Care Mental Health and Behavioral Services | Community/Behavioral Health | 8449 W Bellfort St Ste 325, Houston, TX 77071-2257 | 2020-06-09 |
| 1942822952 | Oak Leaf Behavioral Health | Community/Behavioral Health | 1600 Eldridge Pkwy Apt 3607, Houston, TX 77077-1667 | 2020-05-13 |
| 1194346635 | Houston Wellness and Balance | Community/Behavioral Health | 15603 Manorford Ct, Houston, TX 77095-2270 | 2020-05-06 |
| 1669008009 | Essential Health, LLC | Community/Behavioral Health | 2211 Norfolk St Ste 514, Houston, TX 77098-4056 | 2020-03-17 |
| 1114551462 | Dr. Gala Health Coaching LLC | Community/Behavioral Health | 13726 Stabledon Dr, Houston, TX 77014-2146 | 2020-02-26 |
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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.