Haven Behavioral Services of Ft. Worth, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

HAVEN BEHAVIORAL SERVICES OF FT. WORTH, LLC

Doing business as

Haven Behavioral Hospital of Ft. Worth

Practice address

1000 Saint Louis Ave
Ft Worth, TX 76104-3366

Phone

(615) 250-9500

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janie R Pickle

Title

VP/Treasurer

Phone

(615) 250-9064

Specialties & licenses 1

Addresses

Other names 1

• Haven Behavioral Hospital of Ft. Worth Doing business as

Locations

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1275974636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043191",
            "telephone_number": "615-250-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT LOUIS AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043366",
            "telephone_number": "615-250-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL SERVICES OF FT. WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "PICKLE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP/TREASURER",
        "authorized_official_telephone_number": "615-250-9064",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Behavioral Hospital of Ft. Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison B Haug
• Amanda Hauge
• Gregory Hauk, CRNA
• Megan Haupert, M. E.D., BCBA
• Kaleigh Haus
• Alla Havens, FNP-BC
• Karin Marie Havens, LCSW
• Joy Havner, LMT
• Justin D Hawker, DNP
• Melissa Hawkes, PT

• Psychiatric Hospital in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.