Organization Active NPI

Baylor Scott and White

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
National Provider Identifier
1063871408
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BAYLOR SCOTT AND WHITE
Practice address
425 University Blvd
Round Rock, TX 78665-1053
Phone
(615) 347-3845
NPI assigned
Feb 13, 2016
Last updated
Feb 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Authorized official

Name
Kendra Rosse
Title
Senior Supervisor, Clinic Operatio
Phone
(512) 509-0289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

425 University Blvd
Round Rock, TX 78665-1053

Mailing address

200 River Oaks CV Apt 1130
Georgetown, TX 78626-5575
Phone (615) 347-3845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455321600000",
    "number": "1063871408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER OAKS CV APT 1130",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265575",
            "telephone_number": "615-347-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651053",
            "telephone_number": "615-347-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT AND WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-02-13",
        "status": "A",
        "authorized_official_last_name": "ROSSE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "SENIOR SUPERVISOR, CLINIC OPERATIO",
        "authorized_official_telephone_number": "512-509-0289"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; 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.