Paloma Place

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

PALOMA PLACE

Practice address

2058 FM 665 Rd
Corpus Christi, TX 78415-6830

Phone

(361) 271-3298

Fax

(361) 236-2945

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Montray Johnson

Title

Ceo

Phone

(361) 271-3371

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1508504168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 FM 665 RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784156830",
            "telephone_number": "361-271-3298",
            "fax_number": "361-236-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 FM 665 RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784156830",
            "telephone_number": "361-271-3298",
            "fax_number": "361-236-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMA PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MONTRAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-271-3371"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26290059",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yft@palomacc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2058 Fm 665 Rd",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784156830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Casey Palacios, LCDC-I
• Sandya Sravani Palakurthi
• Jason Richard Palmer, PA-C
• Leonel Rodo Palmero, MD
• Ladonna Palmietto
• Rigo Estevan Palomarez, MD
• Catalina M Palomo, LVN
• Robert Palomo, COTA
• Laura Palreiro, SLP-CCC
• Maureen Cassidy Palumbo, LPC, LMFT

• Emotionally Disturbed Childrens' Residential Treatment Facility in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.