Active NPI
Dr Jiji'S Integral Health Center Inc
- Community/Behavioral Health Agency
- Arlington, TX
National Provider Identifier
1154067759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DR JIJI'S INTEGRAL HEALTH CENTER INC
- Practice address
- 600 W Park Row Dr Ste a
Arlington, TX 76010-2559 - Phone
- (214) 414-6033
- NPI assigned
- May 7, 2022
- 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
- Dr. Pamela J Randolph, LCDC
- Title
- Owner and Founder
- Phone
- (214) 414-6033
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
600 W Park Row Dr Ste a
Arlington, TX 76010-2559
Mailing address
PO Box 174497
Arlington, TX 76003-4497
Phone (214) 414-6033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882081806 | Other | TX | ID NUMBER |
Other names 1
- Dr JiJi's Integral Health Center Inc
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Other | Center To Rise Wellness Spa Studio |
| Other URL | NA | Other | |
| Other URL | NA | Other | Dr JiJIs Integral Health Center Inc |
National Provider Directory
National Provider DirectoryLocations
4108 SW Green Oaks Blvd
#174497
Arlington, TX 76017
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Arlington, TX
- NPI 1639772833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651881600000",
"number": "1154067759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 174497",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760034497",
"telephone_number": "214-414-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W PARK ROW DR STE A",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760102559",
"telephone_number": "214-414-6033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JIJI'S INTEGRAL HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-07",
"last_updated": "2022-05-07",
"certification_date": "2022-05-07",
"status": "A",
"authorized_official_last_name": "RANDOLPH",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER AND FOUNDER",
"authorized_official_telephone_number": "214-414-6033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCDC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID NUMBER",
"identifier": "882081806",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "Y",
"endpointDescription": "NA",
"affiliationName": "Center To Rise Wellness Spa Studio",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "600 W Park Row Dr Ste A",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760102559",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "600 W Park Row Dr Ste A",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760102559",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "Y",
"endpointDescription": "NA",
"affiliationName": "Dr JiJIs Integral Health Center Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"address_1": "4108 SW Green Oaks Blvd # 174497",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760174198",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Dr JiJi's Integral Health Center Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.