Organization Active NPI

Geriatric Mental Health Specialists Inc.

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1174667620
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GERIATRIC MENTAL HEALTH SPECIALISTS INC.
Practice address
406 Sharmain PL
San Antonio, TX 78221-1846
Phone
(210) 924-8136
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Ms. Denise Ortega
Title
Administrator
Phone
(936) 273-3786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

406 Sharmain PL
San Antonio, TX 78221-1846

Mailing address

66 Candle Pine PL
# 100
The Woodlands, TX 77381-6436
Phone (936) 273-3786

Other identifiers 1

IdentifierTypeStateIssuer
125999601MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1174667620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CANDLE PINE PL",
            "address_2": "# 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816436",
            "telephone_number": "936-273-3786",
            "fax_number": "936-273-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SHARMAIN PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211846",
            "telephone_number": "210-924-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MENTAL HEALTH SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-273-3786",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125999601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.