Pasadena Assurance Health LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

PASADENA ASSURANCE HEALTH LLC

Practice address

4001 Preston Ave
Pasadena, TX 77505-2069

Phone

(317) 870-1396

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Kyle D Small

Title

Ceo

Phone

(317) 870-1396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1205348232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 KEYSTONE XING STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404354",
            "telephone_number": "317-870-1396",
            "fax_number": "317-757-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052069",
            "telephone_number": "317-870-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA ASSURANCE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-870-1396"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Pasadena, TX
• Providers in Pasadena, 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 31, 2017; 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.