SRP Behavioral Hospital of Plano LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

100264 Issued in TX

Legal business name

SRP BEHAVIORAL HOSPITAL OF PLANO LLC

Practice address

4301 Mapleshade Lane
Plano, TX 75093-0010

Phone

(972) 596-5445

Fax

(972) 596-2332

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Scott Wilson

Title

President

Phone

(214) 635-4748

Specialties & licenses 1

Addresses

Other names 1

• WellBridge Healthcare of Plano Doing business as

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1376954263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 DOUGLAS AVE STE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255887",
            "telephone_number": "972-596-5445",
            "fax_number": "972-596-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MAPLESHADE LANE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930010",
            "telephone_number": "972-596-5445",
            "fax_number": "972-596-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRP BEHAVIORAL HOSPITAL OF PLANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-635-4748"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "TX",
            "license": "100264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellBridge Healthcare of Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne Danielle Squiers, M.S. CCC-SLP
• Shimna Sreedharan
• Jaya Srinath
• Sarath Chandran Srinivasan, MDS
• Sroyc PLLC
• SRR Healthcare Inc
• St Jude Medical S.C. Inc
• Amy Graddy St. John, D.C., LMT
• Rebecca E Stachniak, M.D.
• Peter Steven Stack, M.D.

• Psychiatric Hospital in Plano, TX
• Providers in Plano, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.