Organization Active NPI

Basepoint Psychiatry and Wellness

  • Psychiatry Physician
  • Forney, TX
National Provider Identifier
1174861983
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Jun 24, 2021

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roseann@changepointcounseling.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.