Organization Active NPI

St. Madison Community Mental Health Center Inc

  • Specialist
  • Pearland, TX
National Provider Identifier
1104143031
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ST. MADISON COMMUNITY MENTAL HEALTH CENTER INC
Practice address
11214 Freestone Ave
Pearland, TX 77584-5518
Phone
(832) 206-8454
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Tonya Brown
Title
Owner
Phone
(832) 206-8454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11214 Freestone Ave
Pearland, TX 77584-5518

Mailing address

4410 Peacham LN
Fresno, TX 77545-9696
Phone (832) 206-8454

Other names 1

  • ST. MADISON CMHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Madison CMHC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1104143031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 PEACHAM LN",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775459696",
            "telephone_number": "832-206-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11214 FREESTONE AVE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845518",
            "telephone_number": "832-206-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MADISON COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-206-8454"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. MADISON CMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.