Organization Active NPI

Adventist Health System/Sunbelt, Inc.

Doing business as Central Texas Medical Center Geriatric Psychiatric Unit

  • Psychiatric Hospital Unit
  • San Marcos, TX
National Provider Identifier
1417350190
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
000556 Issued in TX
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Doing business as
Central Texas Medical Center Geriatric Psychiatric Unit
Practice address
1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone
(512) 353-8979
Fax
(512) 753-3598
NPI assigned
Oct 8, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Jesse Sutton
Title
Cfo
Phone
(512) 753-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 000556 TX Primary

Addresses

Primary practice location

1301 Wonder World Dr
San Marcos, TX 78666-7533

Mailing address

PO Box 6427
Fort Worth, TX 76115-0427
Phone (817) 551-2721

Other names 1

  • Central Texas Medical Center Geriatric Psychiatric Unit Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1417350190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6427",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150427",
            "telephone_number": "817-551-2721",
            "fax_number": "817-568-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-353-8979",
            "fax_number": "512-753-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM/SUNBELT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-753-3505"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "000556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Medical Center Geriatric Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.