Organization Active NPI

Amistad Therapy Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Del Rio, TX
National Provider Identifier
1144992397
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMISTAD THERAPY CENTER
Doing business as
Amistad Therapy Center
Practice address
501 W Cantu Rd Ste 400
Del Rio, TX 78840-3057
Phone
(830) 774-4447
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Melinda Brown, PMHNP-BCNPI 1841860517
Title
Pmhnp-BC
Phone
(830) 774-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

501 W Cantu Rd Ste 400
Del Rio, TX 78840-3057

Mailing address

501 W Cantu Rd Ste 400
Del Rio, TX 78840-3057
Phone (830) 774-4447

Other names 1

  • Amistad Therapy Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1144992397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W CANTU RD STE 400",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403057",
            "telephone_number": "830-774-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W CANTU RD STE 400",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403057",
            "telephone_number": "830-774-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "830-774-4447",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amistad Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.