Keystone Psychiatric Case Management Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

630479 Issued in TX

Legal business name

KEYSTONE PSYCHIATRIC CASE MANAGEMENT SERVICES

Practice address

524 Teresa LN
Grand Prairie, TX 75052-2813

Phone

(972) 262-9501

Fax

(972) 262-9500

NPI assigned

May 10, 2013

Organization subpart

No

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

Authorized official

Name

Emmanuel Asafu-Adjaye, RN

Title

Administrator

Phone

(972) 262-9501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1174969604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 TERESA LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522813",
            "telephone_number": "972-262-9501",
            "fax_number": "972-262-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 TERESA LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522813",
            "telephone_number": "972-262-9501",
            "fax_number": "972-262-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PSYCHIATRIC CASE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "ASAFU-ADJAYE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-262-9501",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "630479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenisha Rotibi
• Lynn Keniston, DMD
• Kenpan Hu DMD PA
• Kesha Deshea Thomas LPC, PLLC
• Keturah Health, LLC
• Carolyn K Kha, OD
• Behrooz Khademazad, DDS
• Waleed Khan, MD
• Geeta Khare
• Cynthia Kidd, OTR

• Case Management Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.