Active NPI
Visn 17 Center of Excellence for Research on Returning War Veterans
- Psychiatric Hospital
- Waco, TX
National Provider Identifier
1184038507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- PS01444
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.