Organization Active NPI

CND Therapy PLLC

  • Community/Behavioral Health Agency
  • Mansfield, TX
National Provider Identifier
1063877538
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17140 Issued in TX
Legal business name
CND THERAPY PLLC
Practice address
602 Strada Cir
Suite 112
Mansfield, TX 76063-3201
Phone
(682) 203-7096
Fax
(817) 730-9314
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Mrs. Concepcion Mata Andrijeski, LPCNPI 1194955948
Title
Owner
Phone
(682) 203-7096

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 17140 TX Primary

Addresses

Primary practice location

602 Strada Cir
Suite 112
Mansfield, TX 76063-3201

Mailing address

602 Strada Cir
Suite 112
Mansfield, TX 76063-3201
Phone (682) 203-7096

National Provider Directory

National Provider Directory

Locations

602 Strada Cir
Ste 112
Mansfield, TX 76063
Phone (682) 203-7096

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1063877538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR",
            "address_2": "SUITE 112",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "682-203-7096",
            "fax_number": "817-730-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 STRADA CIR",
            "address_2": "SUITE 112",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "682-203-7096",
            "fax_number": "817-730-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "ANDRIJESKI",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "MATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-203-7096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "17140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.