The Menninger Clinic

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2292122921 Issued in TX

Legal business name

THE MENNINGER CLINIC

Doing business as

Outpatient Services

Practice address

12301 Main St
Houston, TX 77035-6207

Phone

(713) 275-5000

Fax

(713) 275-5105

NPI assigned

Dec 7, 2016

Organization subpart

Yes

Parent organization

THE MENNINGER CLINICAs reported in NPPES

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

Authorized official

Name

Mr. Antonio Gaglio, MBA CPA

Title

Cfo

Phone

(713) 275-5004

Specialties & licenses 1

Addresses

Other names 1

• Outpatient Services Doing business as

Tax ID family

Outpatient Services2 organizations share this tax ID, including this one

Part of

The Menninger Clinic

Other organizations with this tax ID 1

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

• The Menninger Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1619361748
  NPD tax ID

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1366986531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5000",
            "fax_number": "713-275-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5000",
            "fax_number": "713-275-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENNINGER CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MENNINGER CLINIC",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "GAGLIO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-275-5004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA CPA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "2292122921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Medical Taxi
• The Medical Team, Inc.
• The Mendcenter, PLLC
• The Menninger Clinic
• The Menninger Clinic
• The Menninger Clinic
• The Menninger Clinic
• The Menninger Clinic
• The Mental Health Center of North, Houston, PLLC
• The Mental Health Co-Op

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.