Organization Active NPI

Teen Mental Health Texas LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Cedar Park, TX
National Provider Identifier
1124973086
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
TEEN MENTAL HEALTH TEXAS LLC
Practice address
1464 E Whitestone Blvd Ste 1304B
Cedar Park, TX 78613-9072
Phone
(201) 306-5670
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Taylor Cavender
Title
Authorized Official
Phone
(512) 883-4583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1464 E Whitestone Blvd Ste 1304B
Cedar Park, TX 78613-9072

Mailing address

1464 E Whitestone Blvd Ste 1304B
Cedar Park, TX 78613-9072

National Provider Directory

National Provider Directory

Locations

1464 E Whitestone Blvd
Ste 1304B
Cedar Park, TX 78613
Phone (201) 306-5670

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1124973086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 1304B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 E WHITESTONE BLVD STE 1304B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139072",
            "telephone_number": "201-306-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN MENTAL HEALTH TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "CAVENDER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-883-4583"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.