Organization Active NPI

Lynx Behavioral Health, PLLC

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1316648728
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LYNX BEHAVIORAL HEALTH, PLLC
Practice address
480 N Sam Houston Pkwy E # 380B
Houston, TX 77060-3550
Phone
(346) 604-4780
Fax
(346) 299-5190
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Deric Outley, RN
Title
Principal
Phone
(713) 498-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

480 N Sam Houston Pkwy E # 380B
Houston, TX 77060-3550

Mailing address

PO Box 667603
Houston, TX 77266-7603
Phone (713) 498-2112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@lynxhealthservices.com

National Provider Directory

National Provider Directory

Locations

480 N Sam Houston Pkwy E
#380B
Houston, TX 77060
Phone (346) 604-4780

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1316648728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667603",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772667603",
            "telephone_number": "713-498-2112",
            "fax_number": "346-299-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N SAM HOUSTON PKWY E # 380B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603550",
            "telephone_number": "346-604-4780",
            "fax_number": "346-299-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNX BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "OUTLEY",
        "authorized_official_first_name": "DERIC",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "713-498-2112",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@lynxhealthservices.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "480 N Sam Houston Pkwy E # 380B",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770603550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.