Inbetween Living Rehabilitation Center

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Legal business name

INBETWEEN LIVING REHABILITATION CENTER

Practice address

9511 Perrin Beitel Rd Apt 205
San Antonio, TX 78217-3538

Phone

(210) 238-4427

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Dynasty Rochelle Holland

Title

Owner

Phone

(210) 269-9715

Specialties & licenses 4

Addresses

Other names 1

• InBetween Living Other name

Electronic endpoints 1

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1265058010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 PERRIN BEITEL RD APT 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173538",
            "telephone_number": "210-238-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 PERRIN BEITEL RD APT 205",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173538",
            "telephone_number": "210-238-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INBETWEEN LIVING REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "DYNASTY",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-269-9715"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.practicefusion.com/",
            "affiliation": "N",
            "endpointDescription": "We use a EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "9511 Perrin Beitel Rd Apt 205",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782173538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "InBetween Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Rehabilitation Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Rehabilitation Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.