Sierra Op TX, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SIERRA OP TX, LLC

Practice address

640 W Southlake Blvd
Southlake, TX 76092-6023

Phone

(520) 624-4000

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Brian Phillip Farley

Title

Vice President and Secretary

Phone

(615) 861-6000

Specialties & licenses 2

Addresses

Other names 1

• Sierra at Southlake Doing business as

Locations

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1497420673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926023",
            "telephone_number": "520-624-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA OP TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra at Southlake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra at Southlake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Shoffit
• Anna Maria Shute, FNP-BC
• Talaya Marie Sibley
• Mohammad Zia Siddiqui, MD
• Nicole Siegel, LCSW, LCDC
• Silverlake Professional Group
• Silverstone Harborchase Southlake Operating, LLC
• Brooke V. Simer, MA, CCC-SLP
• Savannah Simerly
• Brian Marc Simmons, LPC

• Adult Mental Health Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.