NPIMap

Organization Active NPI

Behavioral Health Associates

  • Clinical Psychologist
  • Lubbock, TX
National Provider Identifier
1396072849
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEHAVIORAL HEALTH ASSOCIATES
Practice address
3709 22ND PL
Suite C
Lubbock, TX 79410-1333
Phone
(806) 795-3911
Fax
(806) 795-2315
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Brian David Carr, LICENSEDPSYCHOLOGISTNPI 1316978703
Title
President, Bha, P.C.
Phone
(806) 795-3911

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3709 22ND PL
Suite C
Lubbock, TX 79410-1333

Mailing address

3709 22ND PL
Suite C
Lubbock, TX 79410-1333
Phone (806) 795-3911

Other identifiers 1

IdentifierTypeStateIssuer
00332363-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

3709 22nd Pl
Unit C
Lubbock, TX 79410
Phone (806) 795-3911

Practitioners & affiliated clinicians

Practitioners 3

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1396072849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 22ND PL",
            "address_2": "SUITE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101333",
            "telephone_number": "806-795-3911",
            "fax_number": "806-795-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 22ND PL",
            "address_2": "SUITE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101333",
            "telephone_number": "806-795-3911",
            "fax_number": "806-795-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT, BHA, P.C.",
        "authorized_official_telephone_number": "806-795-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LICENSEDPSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00332363-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.