Organization Active NPI

Harold F. Adelman, M.D, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Georgetown, TX
National Provider Identifier
1366918419
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HAROLD F. ADELMAN, M.D, PLLC
Practice address
3008 Dawn Drive
Suite #103
Georgetown, TX 78628
Phone
(512) 943-4585
Fax
(512) 943-4586
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Mrs. Angela Wynn
Title
Office Manager
Phone
(512) 943-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3008 Dawn Drive
Suite #103
Georgetown, TX 78628

Mailing address

P.O. Box 2749
Georgetown, TX 78627
Phone (512) 943-4585

Other identifiers 1

IdentifierTypeStateIssuer
0988265403MedicaidTX

Other names 1

  • Harold F. Adelman MD Doing business as

National Provider Directory

National Provider Directory

Locations

3008 Dawn Dr
Ste 103
Georgetown, TX 78628
Phone (512) 943-4585

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1366918419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2749",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78627",
            "telephone_number": "512-943-4585",
            "fax_number": "512-943-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 DAWN DRIVE",
            "address_2": "SUITE #103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-943-4585",
            "fax_number": "512-943-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD F. ADELMAN, M.D, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-943-4585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0988265403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harold F. Adelman MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.