Bam House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BAM HOUSE

Practice address

9710 Military Pkwy Apt 136
Dallas, TX 75227-4801

Phone

(214) 836-5764

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

Jessica M Cook

Title

Ceo

Phone

(469) 508-4516

Specialties & licenses 1

Addresses

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": "1265058143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 MILITARY PKWY APT 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274801",
            "telephone_number": "214-836-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 MILITARY PKWY APT 136",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274801",
            "telephone_number": "214-836-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAM HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-508-4516"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sirine A Baltagi, MD
• Melissa M Baltazar, DNP
• Romeo Baltazar
• Debra S McBride Balthrop, CPNP
• Heather Balusek, OTR
• Bamd Anesthesia PLLC
• Bamf Dental PLLC Dunkz Dental PLLC MBR (Highland Park Endodontics)
• Afolashade Bamigbola, NP
• Shrina Bana, PHARMD
• Liza De Olazo Banaag, MD

• Mental Illness Community Based Residential Treatment Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Illness Community Based Residential Treatment Facility 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.