Organization Active NPI

Eating Disorder Solutions of Texas LLC

  • Psychiatric Residential Treatment Facility
  • Dallas, TX
National Provider Identifier
1558833467
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
EATING DISORDER SOLUTIONS OF TEXAS LLC
Practice address
10222 Chimney Hill LN
Dallas, TX 75243-2311
Phone
(248) 410-0567
NPI assigned
Dec 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Jared Hirsch, ESQ.
Title
Director of Operations
Phone
(248) 410-0567

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

10222 Chimney Hill LN
Dallas, TX 75243-2311

Mailing address

PO Box 734612
Dallas, TX 75373-4612
Phone (248) 410-0567

Other practice location 1

3300 Oak Lawn Ave Ste 102
Dallas, TX 75219-4236
Phone (248) 410-0567

National Provider Directory

National Provider Directory
Tax ID family
Eating Disorder Solutions of Texas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3300 Oak Lawn Ave
Ste 102
Dallas, TX 75219
Phone (214) 734-6596

Practitioners & affiliated clinicians

Practitioners 1

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": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1558833467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734612",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734612",
            "telephone_number": "248-410-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 CHIMNEY HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432311",
            "telephone_number": "248-410-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Oak Lawn Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752194236",
            "country_code": "US",
            "telephone_number": "248-410-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EATING DISORDER SOLUTIONS OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "248-410-0567",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.