NPIMap

Organization Active NPI

Federal Correctional Institution

  • Community/Behavioral Health Agency
  • Forest Hill, TX
National Provider Identifier
1275733446
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1981 Issued in WI
Legal business name
FEDERAL CORRECTIONAL INSTITUTION
Practice address
3150 Horton Rd
Forest Hill, TX 76119-5905
Phone
(817) 413-3274
Fax
(817) 413-3295
NPI assigned
Jul 24, 2007
Organization subpart
Yes
Parent organization
DEPARTMENT OF JUSTICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Marti Carlson, PSY. D.
Title
Chief Psychologist
Phone
(817) 413-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1981 WI Primary

Addresses

Primary practice location

3150 Horton Rd
Forest Hill, TX 76119-5905

Mailing address

3150 Horton Rd
Forest Hill, TX 76119-5905
Phone (817) 413-3274

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one
Part of
Tara Littlejohn Gonzales MD - Arbor Pediatrics

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1275733446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HORTON RD",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761195905",
            "telephone_number": "817-413-3274",
            "fax_number": "817-413-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HORTON RD",
            "city": "FOREST HILL",
            "state": "TX",
            "postal_code": "761195905",
            "telephone_number": "817-413-3274",
            "fax_number": "817-413-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL CORRECTIONAL INSTITUTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF JUSTICE",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MARTI",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "817-413-3013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.