Organization Active NPI

I Catrena Boswell, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
National Provider Identifier
1225656747
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
I CATRENA BOSWELL, PLLC
Practice address
4200 S Hulen St Ste 682
Fort Worth, TX 76109-7905
Phone
(817) 385-1529
NPI assigned
Jul 10, 2020
Last updated
Jul 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Catrena Boswell, LCSW
Title
Therapist
Phone
(817) 385-1529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4200 S Hulen St Ste 682
Fort Worth, TX 76109-7905

Mailing address

4200 S Hulen St Ste 682
Fort Worth, TX 76109-7905
Phone (817) 385-1529

National Provider Directory

National Provider Directory

Locations

4200 S Hulen St
Ste 682
Fort Worth, TX 76109
Phone (817) 385-1529

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1225656747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 682",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761097905",
            "telephone_number": "817-385-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 682",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761097905",
            "telephone_number": "817-385-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CATRENA BOSWELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "CATRENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "817-385-1529",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.