Organization Active NPI

Geriatric Mental Health Specialists

  • Clinical Social Worker
  • Keller, TX
National Provider Identifier
1124145792
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125999604MedicaidTX
CH0648OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.