Jake E-S Riding Round Up

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JAKE E-S RIDING ROUND UP

Practice address

10626 Farm to Market 429
Kaufman, TX 75142

Phone

(214) 458-9578

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Jana Syvrud

Title

Founder / Director

Phone

(214) 458-9578

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1043933575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 FARM TO MARKET 429",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "75142",
            "telephone_number": "214-458-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10626 FARM TO MARKET 429",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "75142",
            "telephone_number": "214-458-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE E-S RIDING ROUND UP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "SYVRUD",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "FOUNDER / DIRECTOR",
        "authorized_official_telephone_number": "214-458-9578"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@jakeesrr.org",
            "affiliation": "N",
            "endpointDescription": "Jake E's Riding Round Up Email",
            "address_1": "10626 Farm to Market 429",
            "city": "Kaufman",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Kaufman, TX
• Providers in Kaufman, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.