Organization Active NPI

Pressley Ridge

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1417080805
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRESSLEY RIDGE
Practice address
2017 E Lamar Blvd
Suite 200
Arlington, TX 76006-7345
Phone
(817) 275-5405
Fax
(412) 321-7008
NPI assigned
Mar 14, 2007
Organization subpart
Yes
Parent organization
PRESSLEY RIDGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Beth Blair
Title
Sr Accounting Director
Phone
(412) 321-6995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2017 E Lamar Blvd
Suite 200
Arlington, TX 76006-7345

Mailing address

530 Marshall Ave
Pittsburgh, PA 15214-3016
Phone (412) 321-6995

Other identifiers 1

IdentifierTypeStateIssuer
188444701MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Pressley Ridge61 organizations share this tax ID, including this one
Part of
Pressley Ridge

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1417080805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MARSHALL AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152143016",
            "telephone_number": "412-321-6995",
            "fax_number": "412-321-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 E LAMAR BLVD",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067345",
            "telephone_number": "817-275-5405",
            "fax_number": "412-321-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESSLEY RIDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESSLEY RIDGE",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "SR ACCOUNTING DIRECTOR",
        "authorized_official_telephone_number": "412-321-6995"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188444701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.