Organization Active NPI

Solara Behavioral Health San Antonio, LLP

  • Community Health Clinic/Center
  • San Antonio, TX
National Provider Identifier
1124073150
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
SOLARA BEHAVIORAL HEALTH SAN ANTONIO, LLP
Practice address
1975 Babcock Rd
Suite 140
San Antonio, TX 78229-4585
Phone
(281) 914-1012
Fax
(682) 831-9625
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Mr. Nathan Daniel Ingram
Title
Manager
Phone
(281) 914-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1975 Babcock Rd
Suite 140
San Antonio, TX 78229-4585

Mailing address

1975 Babcock Rd
Suite 140
San Antonio, TX 78229-4585
Phone (281) 914-1012

Other identifiers 1

IdentifierTypeStateIssuer
182967301MedicaidTX

National Provider Directory

National Provider Directory

Locations

1975 Babcock Rd
Ste 140
San Antonio, TX 78229
Phone (210) 340-0898

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1124073150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 BABCOCK RD",
            "address_2": "SUITE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294585",
            "telephone_number": "281-914-1012",
            "fax_number": "682-831-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 BABCOCK RD",
            "address_2": "SUITE 140",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294585",
            "telephone_number": "281-914-1012",
            "fax_number": "682-831-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARA BEHAVIORAL HEALTH SAN ANTONIO, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-914-1012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182967301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.