Organization Active NPI

Cadwalder Behavioral Clinics,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tomball, TX
National Provider Identifier
1558477786
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CADWALDER BEHAVIORAL CLINICS,LLC
Practice address
14030 Crescent Dr
Tomball, TX 77375-4011
Phone
(281) 351-6644
Fax
(281) 351-1357
NPI assigned
Aug 21, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mr. Nathan D. Ingram
Title
Administrator
Phone
(713) 227-8246

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 2307-A TX
Psychiatric Residential Treatment Facility 323P00000X 2307-A TX
Substance Abuse Rehabilitation Facility 324500000X 2307-A TX

Addresses

Primary practice location

14030 Crescent Dr
Tomball, TX 77375-4011

Mailing address

30903 Quinn Rd
Tomball, TX 77375-2959
Phone (281) 351-6644

Other identifiers 1

IdentifierTypeStateIssuer
160975001MedicaidTX

National Provider Directory

National Provider Directory

Locations

14021 Crescent Dr
Tomball, TX 77375
Phone (281) 351-6644

14030 Crescent Dr
Tomball, TX 77375
Phone (281) 351-6644

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1558477786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30903 QUINN RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752959",
            "telephone_number": "281-351-6644",
            "fax_number": "281-351-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 CRESCENT DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754011",
            "telephone_number": "281-351-6644",
            "fax_number": "281-351-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADWALDER BEHAVIORAL CLINICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-227-8246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "2307-A",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TX",
            "license": "2307-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "2307-A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160975001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.