NPIMap

Organization Active NPI

Austin Travis County MHMR Center

  • Case Manager/Care Coordinator
  • Austin, TX
National Provider Identifier
1346377579
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
AUSTIN TRAVIS COUNTY MHMR CENTER
Practice address
5225 N Lamar Blvd
Austin, TX 78751-1820
Phone
(512) 483-5800
Fax
(512) 483-5800
NPI assigned
Feb 27, 2007
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. James Russel Van Norman, M.D.
Title
Medical Director
Phone
(512) 440-4021

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU
Case Manager/Care Coordinator 171M00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

5225 N Lamar Blvd
Austin, TX 78751-1820

Mailing address

PO Box 3548
Austin, TX 78764-3548
Phone (512) 445-7787

Other identifiers 1

IdentifierTypeStateIssuer
1335424-01MedicaidTX

Other names 1

  • ATCMHMR MR Service Coordination Other name

National Provider Directory

National Provider Directory
Tax ID family
Austin Travis County Integral Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5225 N Lamar Blvd
Austin, TX 78751
Phone (512) 483-5800

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1346377579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787643548",
            "telephone_number": "512-445-7787",
            "fax_number": "512-440-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511820",
            "telephone_number": "512-483-5800",
            "fax_number": "512-483-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN TRAVIS COUNTY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "VAN NORMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-440-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335424-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATCMHMR MR Service Coordination",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.