Active NPI
St. Madison Community Mental Health Center Inc
- Specialist
- Pearland, TX
National Provider Identifier
1104143031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider Directory- Tax ID family
- St Madison CMHC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1982905162
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.