Active NPI
Basepoint Psychiatry and Wellness
- Psychiatry Physician
- Forney, TX
National Provider Identifier
1174861983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- BASEPOINT PSYCHIATRY AND WELLNESS
- Practice address
- 713 W Broad St
Forney, TX 75126-9147 - Phone
- (972) 552-5559
- Fax
- (972) 552-5499
- NPI assigned
- Jan 29, 2013
- 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
- Blake Serpa
- Title
- Coo
- Phone
- (214) 793-0636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
713 W Broad St
Forney, TX 75126-9147
Mailing address
713 W Broad St
Forney, TX 75126-9147
Phone (972) 325-2584
Other practice location 1
205 E US Highway 80
Suite 175
Forney, TX 75126-8604
Phone (888) 229-1720
Other practice location 2
11803 Classic Ln
Forney, TX 75126-7077
Phone (972) 552-5559
Other names 1
- Changepoint Counseling Services, PLLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | roseann@changepointcounseling.com | Direct |
National Provider Directory
National Provider DirectoryLocations
713 W Broad St
Forney, TX 75126
Phone (972) 325-2633
205 E US Highway 80
Ste 175
Forney, TX 75126
Phone (888) 229-1720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1174861983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W BROAD ST",
"city": "FORNEY",
"state": "TX",
"postal_code": "751269147",
"telephone_number": "972-325-2584",
"fax_number": "972-552-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W BROAD ST",
"city": "FORNEY",
"state": "TX",
"postal_code": "751269147",
"telephone_number": "972-552-5559",
"fax_number": "972-552-5499"
}
],
"practiceLocations": [
{
"address_1": "205 E US Highway 80",
"address_2": "Suite 175",
"address_purpose": "LOCATION",
"city": "Forney",
"state": "TX",
"postal_code": "751268604",
"country_code": "US",
"telephone_number": "888-229-1720",
"fax_number": "888-229-1720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11803 Classic Ln",
"address_purpose": "LOCATION",
"city": "Forney",
"state": "TX",
"postal_code": "751267077",
"country_code": "US",
"telephone_number": "972-552-5559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BASEPOINT PSYCHIATRY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "SERPA",
"authorized_official_first_name": "BLAKE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "214-793-0636"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "roseann@changepointcounseling.com",
"affiliation": "N",
"endpointDescription": "Office Manager",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11803 Classic Ln",
"city": "Forney",
"state": "TX",
"country_code": "US",
"postal_code": "751267077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Changepoint Counseling Services, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.