Active NPI
Mazzy Health, LLC
Doing business as Oak Bluffs Therapy Group
- Substance Abuse Rehabilitation Facility
- Dallas, TX
National Provider Identifier
1154015204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- MAZZY HEALTH, LLC
- Doing business as
- Oak Bluffs Therapy Group
- Practice address
- 8333 Douglas Ave Ste 350
Dallas, TX 75225-5802 - Phone
- (603) 660-7292
- Fax
- (214) 602-4651
- NPI assigned
- Jun 2, 2023
- 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
- Mr. Shawn O'Connor
- Title
- Chief Administrative Officer
- Phone
- (603) 660-7292
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
8333 Douglas Ave Ste 350
Dallas, TX 75225-5802
Mailing address
8333 Douglas Ave Ste 350
Dallas, TX 75225-5802
Phone (603) 660-7292
Other names 1
- Oak Bluffs Therapy Group
National Provider Directory
National Provider DirectoryLocations
8333 Douglas Ave
Ste 350
Dallas, TX 75225
Phone (214) 471-1538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685664000000",
"number": "1154015204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 DOUGLAS AVE STE 350",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255802",
"telephone_number": "603-660-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 DOUGLAS AVE STE 350",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255802",
"telephone_number": "603-660-7292",
"fax_number": "214-602-4651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAZZY HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A",
"authorized_official_last_name": "O'CONNOR",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "603-660-7292",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Bluffs Therapy Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.