Elevate Healthcare - Longview LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ELEVATE HEALTHCARE - LONGVIEW LLC

Practice address

4001 Technology Ctr Ste 201
Longview, TX 75605-2758

Phone

(430) 201-5381

Fax

(430) 201-5609

NPI assigned

Jun 25, 2021

Organization subpart

Yes

Parent organization

ELEVATE HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Margie Barilla

Title

Founder/President

Phone

(214) 843-8503

Specialties & licenses 4

Addresses

Part of

Elevate Healthcare LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Elevate Healthcare, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Plano, TX
  • NPI 1508338690
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jawad Riaz, M.D.

  • Psychiatry Physician
  • Sherman, TX
  • NPI 1962425280
  NPD (past)
• Faiza Naseem Qureshi, M. D.

  • Psychiatry Physician
  • Whitfield, MS
  • NPI 1780766295
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1497325179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 PRESTON RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526144",
            "telephone_number": "214-396-0717",
            "fax_number": "469-372-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 TECHNOLOGY CTR STE 201",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052758",
            "telephone_number": "430-201-5381",
            "fax_number": "430-201-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTHCARE - LONGVIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEVATE HEALTHCARE LLC",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "BARILLA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "214-843-8503"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Longview, TX
• Providers in Longview, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.