Organization Active NPI

Visn 17 Center of Excellence for Research on Returning War Veterans

  • Psychiatric Hospital
  • Waco, TX
National Provider Identifier
1184038507
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
PS01444 Issued in RI
Legal business name
VISN 17 CENTER OF EXCELLENCE FOR RESEARCH ON RETURNING WAR VETERANS
Practice address
4800 Veterans Memorial Drive
151-C
Waco, TX 76711
Phone
(917) 208-1071
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Ms. Tangela Hollins
Title
Supervisory Health System Specialis
Phone
(254) 743-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X PS01444 RI Primary

Addresses

Primary practice location

4800 Veterans Memorial Drive
151-C
Waco, TX 76711

Mailing address

701 Whispering Oaks Dr
Salado, TX 76571-4930
Phone (917) 208-1071

National Provider Directory

National Provider Directory

Locations

4800 Memorial Dr
#151C
Waco, TX 76711
Phone 2542973000 ext. 55606

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1184038507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WHISPERING OAKS DR",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765714930",
            "telephone_number": "917-208-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 VETERANS MEMORIAL DRIVE",
            "address_2": "151-C",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76711",
            "telephone_number": "917-208-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISN 17 CENTER OF EXCELLENCE FOR RESEARCH ON RETURNING WAR VETERANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "TANGELA",
        "authorized_official_title_or_position": "SUPERVISORY HEALTH SYSTEM SPECIALIS",
        "authorized_official_telephone_number": "254-743-1133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "RI",
            "license": "PS01444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.