NPIMap

Organization Active NPI

Austin Travis County MHMR Center

Doing business as Austin Travis County Integral Care

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austin, TX
National Provider Identifier
1366740813
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
166-3358 Issued in TX
Legal business name
AUSTIN TRAVIS COUNTY MHMR CENTER
Doing business as
Austin Travis County Integral Care
Practice address
4019 Manchaca Rd
Austin, TX 78704-6737
Phone
(512) 472-4357
Fax
(512) 703-1394
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Charles E. Harrison
Title
Chief Financial Officer, Coo
Phone
(512) 440-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 166-3358 TX Primary

Addresses

Primary practice location

4019 Manchaca Rd
Austin, TX 78704-6737

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

Other names 1

  • Austin Travis County Integral Care Doing business as

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

4019 Menchaca Rd
Austin, TX 78704
Phone (512) 804-3414

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1366740813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787046737",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN TRAVIS COUNTY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER, COO",
        "authorized_official_telephone_number": "512-440-4001"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "166-3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Travis County Integral Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 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.