Avery Behavioral Health, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34617 Issued in TX

Legal business name

AVERY BEHAVIORAL HEALTH, PLLC

Practice address

208 S Dixon St
Gainesville, TX 76240-4719

Phone

(940) 612-2445

Fax

(940) 612-2445

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Tamara Avery, PSYD, LPNPI 1629387329

Title

Owner/Licensed Psychologist

Phone

(940) 612-2445

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tamara Avery, PSYD, LP

  • Clinical Psychologist
  • Gainesville, TX
  • NPI 1629387329
  Authorized official Same address or phone
• Jemini Avery, PSY.D.

  • Psychologist
  • Fort Worth, TX
  • NPI 1750628756
  NPD

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1285910539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S DIXON ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404719",
            "telephone_number": "940-612-2445",
            "fax_number": "940-612-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S DIXON ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404719",
            "telephone_number": "940-612-2445",
            "fax_number": "940-612-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "940-612-2445",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Anderson, COTA
• Laura L Anderson, WHNP
• Khawaja N Anwar, MD
• Assisted Living Concepts Inc (Wheeler House)
• Astral Emergency Physicians, PLLC
• Tamara Avery, PSYD, LP
• Axxess Medical LLC
• Badar Kanwar M.D P.a
• Bastion Emergency Physicians, PLLC
• Tina Bauwin, COTA

• Clinical Psychologist in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.