NPIMap

Organization Active NPI

Behavioral Health Consultants

  • Psychologist
  • Austin, TX
National Provider Identifier
1245275155
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BEHAVIORAL HEALTH CONSULTANTS
Practice address
11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3916
Phone
(512) 343-8850
Fax
(512) 343-8079
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Charles Clifton Moore, PHDNPI 1144255381
Title
President Behavioral Health Consult
Phone
(512) 563-7792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3916

Mailing address

11211 Taylor Draper LN
Suite 202
Austin, TX 78759-3916
Phone (512) 343-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000875 TX Part B Supplier - Clinic/Group Practice 9739086091 Receives reassigned benefits from 7 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

6836 Austin Center Blvd
Ste 140
Austin, TX 78731
Phone (512) 343-8850

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1245275155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593916",
            "telephone_number": "512-343-8850",
            "fax_number": "512-343-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593916",
            "telephone_number": "512-343-8850",
            "fax_number": "512-343-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT BEHAVIORAL HEALTH CONSULT",
        "authorized_official_telephone_number": "512-563-7792",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.