KATHRYN SICKOREZ (NPI# 1861652984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861652984 |
| Entity Type | Individual |
| Full Name | KATHRYN SICKOREZ |
| Credential | M.D. |
| Practice Address |
4645 Samuell Blvd Dallas TX 75228-6826 |
| Mailing Address |
1380 River Bend Dr Dallas TX 75247-4914 |
| Practice Telephone | 2142757393 |
| Mailing Telephone | 2147436159 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
P4907 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
245989 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
4645 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720001118 | Kristen H Grable | Psychiatry & Neurology | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2006-07-26 |
| 1710587845 | Ijeoma Agolue | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2020-10-28 |
| 1144883414 | Trendolyn Desha Davis | Counselor | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2019-04-22 |
| 1659842987 | Caroline Moraa Tomlinson | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-12-16 |
| 1487122073 | Stanley Imoleayo Okeyemi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-11-13 |
| 1720593981 | Kemi Fawehinmi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2017-12-11 |
| 1689124125 | Latifat Adelekan-adeogun | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2016-10-07 |
| 1730554890 | Derica Perez | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2015-12-01 |
| 1396172631 | Raigina Lenette Preston | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2013-10-01 |
| 1811240013 | Metrocare | Clinic/Center | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| 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 |
|---|---|---|---|---|
| 1689230138 | Matthew Faubion | Psychiatry & Neurology | 2816 Vine St Apt 262, Dallas, TX 75204-4088 | 2019-05-09 |
| 1386106037 | Kaylee Marie Davis | Psychiatry & Neurology | Department of Psychiatry: 5323 Harry Hines Blvd., Dallas, TX 75390-9070 | 2019-04-02 |
| 1407328594 | Better Living Associates Pa | Psychiatry & Neurology | 7859 Walnut Hill Ln Ste 320, Dallas, TX 75230-5635 | 2018-12-30 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1992206411 | Inna Kogan Md, Pa | Psychiatry & Neurology | 13101 Preston Rd Ste 504, Dallas, TX 75240-5231 | 2018-02-21 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1558725051 | John Russel Dykema IIi | Psychiatry & Neurology | 6363 Forest Park Rd,7th Floor Ste749, Dallas, TX 75390-2500 | 2016-04-11 |
| 1578927497 | Mohona Sadhu | Psychiatry & Neurology | 5151 Harry Hines Blvd 4th Fl, Dallas, TX 75390-7201 | 2016-04-06 |
| 1629430970 | Jennifer N Yoon | Psychiatry & Neurology | 6363 Forest Park Road 7th Fl Ste 749, Dallas, TX 75390-1023 | 2016-03-25 |
| 1245603356 | Jeffry Andresen | Psychiatry & Neurology | 503 Monte Vista Dr, Dallas, TX 75223-1239 | 2015-11-11 |
| Find all providers in DALLAS | ||||
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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.