Integrated Mental Health Services

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

INTEGRATED MENTAL HEALTH SERVICES

Doing business as

Cenpatico

Practice address

504 Lavaca Street
Suite 850
Austin, TX 78701-2939

Phone

(512) 406-7200

NPI assigned

Sep 27, 2011

Organization subpart

No

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

Authorized official

Name

Samuel Andrew Donaldson, PHD, PSYCHOLOGIST

Title

Chief Executive Officer

Phone

(512) 406-7515

Specialties & licenses 1

Addresses

Other names 1

• Cenpatico Doing business as

Locations

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1023391885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAVACA STREET",
            "address_2": "SUITE 850",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012939",
            "telephone_number": "512-406-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LAVACA STREET",
            "address_2": "SUITE 850",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012939",
            "telephone_number": "512-406-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "512-406-7515",
        "authorized_official_credential": "PHD, PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cenpatico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Austin, TX
• Providers in Austin, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.