Active NPI
Monte Nido Texas, LLC
Doing business as Clementine Houston
- Adolescent and Children Mental Health Clinic/Center
- Conroe, TX
National Provider Identifier
1245704915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- MONTE NIDO TEXAS, LLC
- Doing business as
- Clementine Houston
- Practice address
- 15252 Saddlewood Dr
Conroe, TX 77384-3453 - Phone
- (305) 663-1876
- Fax
- (914) 479-5490
- NPI assigned
- Jan 16, 2019
- Last updated
- Apr 3, 2023
- 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
- Mr. Mike Bagley
- Title
- Chief Financial Officer
- Phone
- (305) 663-1876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | Primary |
Addresses
Primary practice location
15252 Saddlewood Dr
Conroe, TX 77384-3453
Mailing address
6100 SW 76TH St
South Miami, FL 33143-5002
Phone (305) 663-1876
Other names 1
- Clementine Houston
National Provider Directory
National Provider Directory- Tax ID family
- Clementine Houston
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Monte Nido Houston Day Treatment
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houston, TX
- NPI 1194590521
-
dba Monte Nido Houston
- Mental Illness Community Based Residential Treatment Facility
- Conroe, TX
- NPI 1851063499
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatry Physician
- South Miami, FL
- NPI 1790959690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1245704915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 SW 76TH ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435002",
"telephone_number": "305-663-1876",
"fax_number": "914-479-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15252 SADDLEWOOD DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773843453",
"telephone_number": "305-663-1876",
"fax_number": "914-479-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTE NIDO TEXAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "BAGLEY",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "305-663-1876",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clementine Houston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conroe, TX
- Rabab Mohsin, M.D.
- Kemunto Mokaya, M.D.
- Maritza Molina, MA, LPC
- Jacqueline Elizabeth Monheit, M.D.
- Monihealth Home Care Services, Inc. (Total Home Health Conroe)
- Monte Nido Texas, LLC (Monte Nido Houston)
- Ariana Montes
- Montgomery Comprehensive Dental Center
- Montgomery County Cardiovascular Associates PA
- Montgomery County Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.