SRP Oceans Hospital of San Marcos LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

100313 Issued in TX

Legal business name

SRP OCEANS HOSPITAL OF SAN MARCOS LLC

Doing business as

WellBridge Healthcare of San Marcos

Practice address

1106 N Ih 35
San Marcos, TX 78666-7030

Phone

(512) 353-0194

Fax

(512) 353-0196

NPI assigned

Jan 26, 2015

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Wilson

Title

President

Phone

(214) 635-4748

Specialties & licenses 1

Addresses

Other names 1

• WellBridge Healthcare of San Marcos Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184014433. Details of each certification follow.

• CCN 454137 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 454137

Legal name

OCEANS BEHAVIORAL HOSPITAL OF SAN MARCOS

Certification status

Terminated Voluntary: merger or closure, Jun 30, 2020

Provider type (POS)

Hospital – Psychiatric

Participating since

Oct 23, 2015

Last certification

Jun 16, 2018

Beds

24

Ownership / control type

Private (for profit)

Facility address

1106 N Ih 35
San Marcos, TX 78666

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1184014433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 DOUGLAS AVE STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255887",
            "telephone_number": "512-353-0194",
            "fax_number": "512-667-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N IH 35",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667030",
            "telephone_number": "512-353-0194",
            "fax_number": "512-353-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRP OCEANS HOSPITAL OF SAN MARCOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-635-4748"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "100313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBridge Healthcare of San Marcos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Spencer, FNP-C
• Kathy L Spraggins, PTA
• Gary Springer, LPC
• Springtown Pediatric Dentistry
• Barbara Ann Sprott, LPC
• St Davids Healthcare Partnership LP LLP (St David's Cardiovascular Imaging Center-Wonder World)
• Amanda Standlee, MT
• Sharon M Standoff, PTA
• Stephen Lee Stanfield, O.D.
• Sariaha Anezlyn Stanford I

• Psychiatric Hospital in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.