Organization Active NPI

Global Brain Center Uddin PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southlake, TX
National Provider Identifier
1386188738
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
M8396 Issued in TX
Legal business name
GLOBAL BRAIN CENTER UDDIN PLLC
Practice address
521 W Southlake Blvd Ste 100
Southlake, TX 76092-6173
Phone
(817) 328-3000
Fax
(817) 328-3333
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Mohammad N Uddin, MD
Title
Owner
Phone
(817) 328-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X M8396 TX Primary

Addresses

Primary practice location

521 W Southlake Blvd Ste 100
Southlake, TX 76092-6173

Mailing address

521 W Southlake Blvd Ste 100
Southlake, TX 76092-6173
Phone (817) 328-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1386188738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926173",
            "telephone_number": "817-328-3000",
            "fax_number": "817-328-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W SOUTHLAKE BLVD STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926173",
            "telephone_number": "817-328-3000",
            "fax_number": "817-328-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL BRAIN CENTER UDDIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-328-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "M8396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.