NPIMap

Organization Active NPI

Behavioral Health Services, Inc.

  • Clinical Psychologist
  • Plano, TX
National Provider Identifier
1457490666
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32594 Issued in TX
Legal business name
BEHAVIORAL HEALTH SERVICES, INC.
Practice address
3809 Manchester Cir
Plano, TX 75023-5914
Phone
(580) 471-6665
Fax
(910) 795-1676
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Dr. David Hagedorn, PH.D.
Title
President
Phone
(580) 471-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 32594 TX Primary

Addresses

Primary practice location

3809 Manchester Cir
Plano, TX 75023-5914

Mailing address

3809 Manchester Cir
Plano, TX 75023-5914
Phone (580) 471-6665

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1457490666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 MANCHESTER CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235914",
            "telephone_number": "580-471-6665",
            "fax_number": "910-795-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 MANCHESTER CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235914",
            "telephone_number": "580-471-6665",
            "fax_number": "910-795-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "HAGEDORN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-471-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.