Central Behavioral Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CENTRAL BEHAVIORAL CLINIC LLC

Doing business as

Central Behavioral Clinic

Practice address

2919 Market Loop
Temple, TX 76502-1856

Phone

(254) 803-0408

NPI assigned

Jun 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fatimah ThiamNPI 1669033791

Title

RN

Phone

(254) 803-0408

Specialties & licenses 1

Addresses

Other names 1

• CENTRAL BEHAVIORAL CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatimah Thiam

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple, TX
  • NPI 1669033791
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1013691351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 LAKEWAY CROSSING DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026146",
            "telephone_number": "254-803-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MARKET LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021856",
            "telephone_number": "254-803-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "THIAM",
        "authorized_official_first_name": "FATIMAH",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "254-803-0408"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL BEHAVIORAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Celestine Jr.
• Cen-Tex Alcoholic Rehabilitation Center, Inc.
• Cenikor Foundation (Care Counseling Services)
• Cental Texas Veterans Health Care System
• Centex Smile Doc PC (Central Texas Smile Doctors)
• Central Counties Center for Mental Health & Mental Retardation SRVS (Center Counties Services)
• Central Counties Center for Mental Health & Mental Retardation SRVS
• Central Counties Center for Mental Health & Mental Retardation SRVS (Center Counties Services)
• Central Counties Center for MHMR
• Central Counties Center for MHMR Services (Childteam Eci)

• Psychiatric/Mental Health Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.