Organization · Type 2 NPI
82 Medical Group
Adolescent and Children Mental Health Clinic/Center · Sheppard Afb, TX
Practice location
149 Hart St
Sheppard Afb, TX 76311-3477
Fax (940) 676-6076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 23872 (TX) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
43 other providers at this address
- Stephanie A PorterPediatrics Physician Sheppard Afb, TX NPI 1063492163
- Alison Del Carmen, MS, RDNRegistered Dietitian Sheppard Afb, TX NPI 1043628290
- Amanda S. Weigt, D.M.DDentist Sheppard Afb, TX NPI 1205983350
- Carmella Louise D'addezio, DONephrology Physician Sheppard Afb, TX NPI 1639155286
- Carrie Marie Dorson, PSY.D.Clinical Psychologist Sheppard Afb, TX NPI 1679633895
- Chau Ngoc Hoang, D.M.DDentist Sheppard Afb, TX NPI 1518141399
- Christina Dolores Zotto, RPHPharmacist Sheppard Afb, TX NPI 1649334855
- Christina Q. ParkerIndependent Duty Medical Technicians Sheppard Afb, TX NPI 1982908398
- Christopher James Revis, PhDClinical Psychologist Sheppard Afb, TX NPI 1962597419
- Colleen DaughertyMilitary Health Care Provider Sheppard Afb, TX NPI 1659359412
- Daniel Charles Haman, DDSGeneral Practice Dentistry Sheppard Afb, TX NPI 1053398859
- Denis Joseph Nolan, PT, DPT, OCSMilitary Health Care Provider Sheppard Afb, TX NPI 1972602472
About NPI 1073593570
82 Medical Group's National Provider Identifier is 1073593570, issued on Jan 19, 2006. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Sheppard Afb, TX. The record was last updated on Sep 11, 2025.