MHMR-TC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

462622 Issued in TX

Legal business name

MHMR-TC

Practice address

1200 Circle Drive Ste 400B
Ft Worth, TX 76119

Phone

(817) 569-4750

Fax

(817) 569-4796

NPI assigned

Oct 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Burkett, MD

Title

Medical Director

Phone

(817) 549-4430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1063748853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CIRCLE DRIVE STE 400B",
            "address_2": "MHMRTC",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76119",
            "telephone_number": "817-569-4750",
            "fax_number": "817-569-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CIRCLE DRIVE STE 400B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "76119",
            "telephone_number": "817-569-4750",
            "fax_number": "817-569-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHMR-TC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-549-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "462622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Meyers, NP-C
• Steven J Meyers, MD
• Tracey Jane Meyrick, LMT
• MH Health Care Services, PC
• MHB2-PLLC
• Mia Kay Meyer
• Abbas R Mian, MD
• Darryl Chuan-Jen Miao, MD
• Zheng Miao, NP
• Carly Miceli, LPC

• Community/Behavioral Health Agency in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.