NPIMap

Organization Active NPI

Spectrum Behavior Services LLC

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1043651441
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-12-12683 Issued in TX
Legal business name
SPECTRUM BEHAVIOR SERVICES LLC
Practice address
4721 Bradford Dr Apt B
Dallas, TX 75219-1399
Phone
(405) 315-4599
NPI assigned
Jul 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

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

Authorized official

Name
Kimberly Erin RobichauxNPI 1174869440
Title
Executive Director
Phone
(405) 315-4599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-12-12683 TX Primary

Addresses

Primary practice location

4721 Bradford Dr Apt B
Dallas, TX 75219-1399

Mailing address

4721 Bradford Dr Apt B
Dallas, TX 75219-1399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373673600000",
    "number": "1043651441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 BRADFORD DR APT B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 BRADFORD DR APT B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191399",
            "telephone_number": "405-315-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM BEHAVIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-13",
        "last_updated": "2013-07-13",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUX",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-315-4599"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "1-12-12683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; 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.