Organization Active NPI

Courtesy Community Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Livingston, TX
National Provider Identifier
1487989554
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COURTESY COMMUNITY MENTAL HEALTH CENTER INC
Practice address
414 S. Washington Ave.
Livingston, TX 77351-9087
Phone
(936) 327-5022
Fax
(936) 327-5023
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dina L Dickerson
Title
Ceo
Phone
(936) 327-5022

Specialties & licenses 1

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

Addresses

Primary practice location

414 S. Washington Ave.
Livingston, TX 77351-9087

Mailing address

414 S Washington Ave
Livingston, TX 77351-3447
Phone (936) 327-5022

National Provider Directory

National Provider Directory

Locations

414 S Washington Ave
Livingston, TX 77351
Phone (936) 327-5205

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1487989554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513447",
            "telephone_number": "936-327-5022",
            "fax_number": "936-327-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S. WASHINGTON AVE.",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519087",
            "telephone_number": "936-327-5022",
            "fax_number": "936-327-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTESY COMMUNITY MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-327-5022"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.