Usaf

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

USAF

Practice address

2200 Berquist Drive, Suite 1
Attn: Credentials
Jbsa-Lackland, TX 78236-9908

Phone

(210) 292-6707

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Darlon Jackson, CREDENTIALS MANAGER

Title

Credentials Manager

Phone

(210) 292-6707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1386187656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DRIVE, SUITE 1",
            "address_2": "ATTN: CREDENTIALS",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782369908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DRIVE, SUITE 1",
            "address_2": "ATTN: CREDENTIALS",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USAF",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARLON",
        "authorized_official_title_or_position": "CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "210-292-6707",
        "authorized_official_credential": "CREDENTIALS MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Kelsey Tweed, MD
• Donald Tyler Jr., DDS
• Pansy Uberoi, MD, MPH
• Chinenye Anna Ugorji, R.D.H. AND L.C.S.W
• Steve Updike, DO
• Nancy Juliette Vacca, M.D.
• Matt Sin Valdes, OD
• Alexander Valdez, FNP-C
• Kara M Van de Kieft, M.D.
• Michael Wesley Van de Kieft, M.D.

• Adult Mental Health Clinic/Center in Jbsa-Lackland, TX
• Providers in Jbsa-Lackland, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.