Organization Active NPI

Conflict Management Institute, PLLC

  • Adult Mental Health Clinic/Center
  • Flower Mound, TX
National Provider Identifier
1376960609
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONFLICT MANAGEMENT INSTITUTE, PLLC
Practice address
3505 Yucca Dr
Ste 109
Flower Mound, TX 75028-2704
Phone
(940) 453-7594
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Dr. Kerin Groves, LPCNPI 1588865836
Title
Director
Phone
(940) 453-7594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3505 Yucca Dr
Ste 109
Flower Mound, TX 75028-2704

Mailing address

3505 Yucca Dr
Ste 109
Flower Mound, TX 75028-2704
Phone (940) 453-7594

National Provider Directory

National Provider Directory

Locations

3505 Yucca Dr
Ste 109
Flower Mound, TX 75028
Phone (940) 453-7594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1376960609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 YUCCA DR",
            "address_2": "STE 109",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282704",
            "telephone_number": "940-453-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 YUCCA DR",
            "address_2": "STE 109",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282704",
            "telephone_number": "940-453-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLICT MANAGEMENT INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "KERIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "940-453-7594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.