NPIMap

Organization Active NPI

Sundance Behavioral Health Care, Inc

  • Mental Health Counselor
  • Arlington, TX
National Provider Identifier
1538464151
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SUNDANCE BEHAVIORAL HEALTH CARE, INC
Doing business as
Sundance Behavioral Healthcare
Practice address
7000 Highway 287
Arlington, TX 76001-2805
Phone
(817) 222-9191
Fax
(817) 222-9797
NPI assigned
Jan 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Padmanabha Raju Indukuri, M.D.
Title
Owner
Phone
(817) 222-9007

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

7000 Highway 287
Arlington, TX 76001-2805

Mailing address

7000 Hwy 287
Arlington, TX 76001
Phone (817) 583-8080

Other names 1

  • Sundance Behavioral Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

2707 Airport Fwy
#Forth
Fort Worth, TX 76111
Phone (817) 222-9191

2707 Airport Fwy
Ft Worth, TX 76111
Phone (817) 222-9191

Practitioners & affiliated clinicians

Practitioners 4

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": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1538464151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 HWY 287",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76001",
            "telephone_number": "817-583-8080",
            "fax_number": "817-483-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 HIGHWAY 287",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760012805",
            "telephone_number": "817-222-9191",
            "fax_number": "817-222-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE BEHAVIORAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "INDUKURI",
        "authorized_official_first_name": "PADMANABHA",
        "authorized_official_middle_name": "RAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-222-9007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.