Kidnet Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KIDNET FOUNDATION

Practice address

6065 Duck Creek Dr
Garland, TX 75043-3649

Phone

(972) 303-5303

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Allicia Frye

Title

Ceo

Phone

(972) 303-5303

Specialties & licenses 1

Addresses

Other names 1

• Jonathan's Place Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Roush

  • Social Worker
  • Garland, TX
  • NPI 1104707421
  NPD (past)
• Cassidy Newton Rice, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1639727092
  NPD (past)

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1174967798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140085",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752140085",
            "telephone_number": "972-303-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 DUCK CREEK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433649",
            "telephone_number": "972-303-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNET FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "ALLICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-303-5303"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan's Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoebe Grace Khong
• Stephen Khong, OD
• Rabab Khoury, RPH
• Kevin Farzin Kia, MD
• Kid Friendly Pediatrics PA
• Zarin Kidwai, MD
• Luke Kientzle
• Joley Dianna Kilgore II
• Kathleen Vick Kim, NP
• Brenda Stuart Kimbrell, D.C.

• Community/Behavioral Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.