NPIMap

Organization Active NPI

Dallas County Mental Health & Mental Retardation Center

Doing business as Dallas Mental Health Clinic

  • Clinic Pharmacy
  • Dallas, TX
National Provider Identifier
1366539272
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
2205 Issued in TX
Legal business name
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Doing business as
Dallas Mental Health Clinic
Practice address
2600 N Stemmons Fwy Ste 151
Dallas, TX 75207-2111
Phone
(214) 743-1229
Fax
(214) 905-9178
NPI assigned
Oct 10, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Mark Edery
Title
Director
Phone
(214) 743-6180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 2205 TX Primary

Addresses

Primary practice location

2600 N Stemmons Fwy Ste 151
Dallas, TX 75207-2111

Mailing address

2600 N Stemmons Fwy Ste 151
Dallas, TX 75207-2111
Phone (214) 743-1229

Other identifiers 2

IdentifierTypeStateIssuer
2095120OtherPK
350134MedicaidTX

Other names 1

  • DALLAS MENTAL HEALTH CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dallas County MHMR32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

2600 N Stemmons Fwy
Ste 151
Dallas, TX 75207
Phone (888) 905-0595

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1366539272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N STEMMONS FWY STE 151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072111",
            "telephone_number": "214-743-1229",
            "fax_number": "214-905-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N STEMMONS FWY STE 151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072111",
            "telephone_number": "214-743-1229",
            "fax_number": "214-905-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "EDERY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-743-6180"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "2205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350134",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DALLAS MENTAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.