Staci Gottlieb is a Fort Worth, Texas based nurse practitioner with 14 years of experience in Psych/Mental Health. She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Staci Gottlieb is 741675 for Psych/Mental Health in Texas. Her current practice location is 901 7th Ave, Suite 230, Fort Worth. Patients can reach her at 682-885-1050 or can fax her at 682-885-7572. Staci Gottlieb is RN, MSN, PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1699052555. Staci Gottlieb provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Staci Gottlieb speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Staci Gottlieb
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
RN, MSN, PMHNP
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
901 7th Ave, Suite 230, Fort Worth, Texas, 76104-2722
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6800057662
Enrollment ID:
I20120423000364
NPI Number:
1699052555
NPI Enumeration Date:
07 Nov, 2011
NPI Last Update On:
29 Jul, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Staci Gottlieb are as mentioned below.
License Number
Specialization
State
Status
741675
Psych/Mental Health
Texas
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Staci Gottlieb is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Helen Farabee Centers (8729042916)
10
Other Medical Identifiers:
Other legacy medical identifiers associated with Staci Gottlieb such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
293955505
Medicaid
Texas
293955504
Medicaid
Texas
8600NA
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Staci Gottlieb Po Box 99371, Fort Worth, Texas
Zip:
76199-0371
Phone Number:
682-885-1855
Fax Number:
682-885-7347
Patients can reach Staci Gottlieb at 901 7th Ave, Suite 230, Fort Worth, Texas or can call to book an appointment on 682-885-1050.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.