The Menninger Clinic

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

76606 Issued in TX

Legal business name

THE MENNINGER CLINIC

Practice address

12301 Main St
Houston, TX 77035-6207

Phone

(713) 275-5000

NPI assigned

Oct 19, 2016

Organization subpart

No

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

Authorized official

Name

Miss Czarina V Azzam

Title

Staff Therapist Intern

Phone

(832) 881-8990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1164973673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 YORKTOWN ST",
            "address_2": "APT. 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENNINGER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "CZARINA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "STAFF THERAPIST INTERN",
        "authorized_official_telephone_number": "832-881-8990",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "76606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Means Group
• The Medical Taxi
• The Medical Team, Inc.
• The Mendcenter, PLLC
• The Menninger Clinic
• The Menninger Clinic
• The Menninger Clinic
• The Menninger Clinic
• The Menninger Clinic
• The Mental Health Center of North, Houston, PLLC

• Psychiatric Hospital in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.