Prime Behavioral Health, Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

N9362 Issued in TX

Legal business name

PRIME BEHAVIORAL HEALTH, INC

Practice address

400 N Main St
Suite 104
Grapevine, TX 76051-3300

Phone

(817) 715-7373

NPI assigned

Apr 28, 2014

Last updated

Apr 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Rees, PHDNPI 1063671048

Title

Owner

Phone

(817) 715-7373

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Brian Christopher Rees, PHD

  • Mental Health Counselor
  • Grapevine, TX
  • NPI 1063671048
  NPD (past) Authorized official

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1548670672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513300",
            "telephone_number": "817-715-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513300",
            "telephone_number": "817-715-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "REES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-715-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "N9362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "32052093625",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jamie A Pruitt, NP
• Lauren Elizabeth Pruner, DPM

• Adolescent and Children Mental Health Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.