ELITE PSYCHIATRY PC (NPI# 1952888265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952888265 |
| Entity Type | Organization |
| Organization Name | ELITE PSYCHIATRY PC |
| Other Organization Name | ELITE PSYCHIATRY PC |
| Practice Address |
3901 Arlington Highlands Blvd Ste 200 Arlington TX 76018-6050 |
| Practice Telephone | 8176955035 |
| Practice Fax Number | 8176955037 |
| Mailing Telephone | 8176955035 |
| Mailing Fax Number | 8176955037 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-05-16 |
| Authorized Official Name | MS. RAVEN ELLIOTT MODISETTE (C.E.O) |
| Authorized Official Telephone | 8176955035 |
| Authorized Official Credential | FNP-C, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
M9770 | TX | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APRN LICENSE NUMBER | AP137299 | 01 |
| TX | TX MEDICAL BOARD | M9770 | 01 |
| Other Name | Type Code |
|---|---|
| Elite Psychiatry PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770060691 | Elite Psychiatry PC | Psychiatry & Neurology | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2018-07-24 |
| Street Address |
3901 ARLINGTON HIGHLANDS BLVD STE 200 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76018-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578090957 | C-port LLC - Series B Hospice | Hospice Care, Community Based | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2017-05-17 |
| 1184258741 | Caremate Wellness Solutions | Non-emergency Medical Transport (VAN) | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2020-02-23 |
| 1770060691 | Elite Psychiatry PC | Psychiatry & Neurology | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2018-07-24 |
| 1043703358 | Purple Hearts Primary Care Services, Pllc | Clinic/Center | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018 | 2018-06-11 |
| 1356862726 | Stella Delgadillo | Registered Nurse | 3901 Arlington Highlands Blvd Ste 200, Arlington, TX 76018-6050 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653460 | Tracy Lynn Arion | Counselor | 520 West Way Place, Arlington, TX 76018 | 2019-01-16 |
| 1932695921 | Oliver's Residential Care,llc | Assisted Living Facility | 2127 Merritt Way, Arlington, TX 76018 | 2018-07-03 |
| 1396267589 | Melissa Cejas | Counselor | 320 Westway Place Suite, 530, Arlington, TX 76018 | 2017-07-10 |
| 1568992832 | Amber Lynn Bollinger | Counselor | 320 Westway Place, 530, Arlington, TX 76018 | 2017-06-19 |
| 1689116832 | Medi Weightloss | Clinic/Center | 4000 Five Points Blvd., Suite 169, Arlington, TX 76018 | 2016-11-04 |
| 1477937878 | Galal Hassan | Non-emergency Medical Transport (VAN) | 601 Bristlecone Drive, Arlington, TX 76018 | 2015-07-15 |
| 1235541582 | Back On Track Chiropractic Center | Chiropractor | 4927 S Collins St., Suite 105, Arlington, TX 76018 | 2014-05-21 |
| 1144563354 | Thomas Hong | Anesthesiology | 2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018 | 2013-04-05 |
| 1770822710 | American Current Care Pa | Clinic/Center | 511 Interstate 20 E, Arlington, TX 76018 | 2013-02-12 |
| 1407105141 | Thriving Hearts Care Services Inc | Home Health | 6207 Brookknoll Drive, Arlington, TX 76018 | 2012-09-07 |
| Find all providers in zip 76018 | ||||
| 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 |
|---|---|---|---|---|
| 1538770623 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 4215 Lorcom Ln, Arlington, VA 22207-3305 | 2020-08-12 |
| 1649658709 | Aisha Mondal | Psychiatry & Neurology | 801 N Quincy St Ste 620, Arlington, VA 22203-1999 | 2015-05-09 |
| 1568738292 | Ellenhorn LLC | Psychiatry & Neurology | 406 Masschusetts Avenue, Arlington, MA 02474 | 2012-03-27 |
| 1750652897 | Ayesha Mian, M.d., Pllc | Psychiatry & Neurology | 1110 N Glebe Rd Ste 200, Arlington, VA 22201-4795 | 2012-01-20 |
| 1366762833 | Samir Wahby M.d. P.a. | Psychiatry & Neurology | 905 A Medical Ctr Dr, Arlington, TX 76012 | 2010-06-08 |
| 1003056607 | Hawkins Psychiatry PC | Psychiatry & Neurology | 920 W Mitchell St, Arlington, TX 76013-2560 | 2009-02-23 |
| 1245470848 | Precision Nutrition & Body Contouring Inc. | Psychiatry & Neurology | 900 W Mitchell St # 100, Arlington, TX 76013-2537 | 2009-02-23 |
| 1730354226 | Joshua Aaron Weiner | Psychiatry & Neurology | 2009 14th St N, Suite 602, Arlington, VA 22201-2523 | 2008-04-25 |
| 1386815371 | Metropolitan Psychiatric Services | Psychiatry & Neurology | 1101 Arlington Boulevard, Suite 130, Arlington, VA 22209 | 2008-03-18 |
| 1669640686 | Ken C Hopper Md Pa | Psychiatry & Neurology | 801 Road To Six Flags W Ste 145, Arlington, TX 76012-2600 | 2008-02-12 |
| Find all providers in ARLINGTON | ||||
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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.