Caron Foundation of Texas, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

33153316 Issued in TX

Legal business name

CARON FOUNDATION OF TEXAS, INC

Practice address

3800 County Road
444
Princeton, TX 75407-4432

Phone

(800) 678-2332

NPI assigned

Jul 22, 2010

Organization subpart

Yes

Parent organization

RICHARD J. CARON FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Becci Shaak

Title

VP of Finance

Phone

(610) 743-6451

Specialties & licenses 1

Addresses

Other names 1

• Caron Texas Doing business as

Part of

Richard J Caron Foundation

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1194038802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195650150",
            "telephone_number": "800-648-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 COUNTY ROAD",
            "address_2": "444",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754074432",
            "telephone_number": "800-678-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARON FOUNDATION OF TEXAS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD J. CARON FOUNDATION",
        "enumeration_date": "2010-07-22",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "SHAAK",
        "authorized_official_first_name": "BECCI",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "610-743-6451"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "33153316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caron Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Rose Bringe, PT
• Jean Brown, BSN,RN
• Emily Burris
• Lynn Marie Calvert, NP-C
• Suzzie Campfield
• Ladereka Carter, DOULA, PD, LC
• Cheri Denise Casanova
• Centered Mental Health LLC
• Kelly Lee Chastain
• Cheyenne Total Care LLC

• All providers in Princeton, TX
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.