Active NPI
Geriatric Mental Health Specialists
- Clinical Social Worker
- Keller, TX
National Provider Identifier
1124145792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GERIATRIC MENTAL HEALTH SPECIALISTS
- Practice address
- 800 Whitley Rd
Keller, TX 76248-2519 - Phone
- (817) 379-0795
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 7, 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
- Denise Ortega
- Title
- Administrator
- Phone
- (800) 746-7284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
800 Whitley Rd
Keller, TX 76248-2519
Mailing address
66 Candle Pine PL # 100
The Woodlands, TX 77381-6436
Phone (800) 746-7284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125999604 | Medicaid | TX | |
| CH0648 | Other | TX | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1124145792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CANDLE PINE PL # 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773816436",
"telephone_number": "800-746-7284",
"fax_number": "936-273-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WHITLEY RD",
"city": "KELLER",
"state": "TX",
"postal_code": "762482519",
"telephone_number": "817-379-0795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC MENTAL HEALTH SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "800-746-7284"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125999604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CH0648",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.