Northeast Texas Behavioral Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

NORTHEAST TEXAS BEHAVIORAL HEALTH

Practice address

3605 NE Loop 286 Ste 1800
Paris, TX 75460-5086

Phone

(903) 782-9500

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Kaitlin Baker, APRN, PMHNP-BCNPI 1396248456

Title

Owner

Phone

(903) 517-3967

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlin B Baker, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • McAlester, OK
  • NPI 1396248456

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1578344941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 1800",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605086",
            "telephone_number": "903-782-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 1800",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605086",
            "telephone_number": "903-782-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST TEXAS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-517-3967",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Beaver Norment, PA-C
• North Lamar Isd
• Cheyanne North, SLP
• Laci Northam, LCSW
• Terrie J Northcutt
• Northeast Texas Clinic of Chiropractic, P.Corp
• Northeast Texas Ear, Nose & Throat
• Northeast Texas Hearing Services
• Northeast Texas Homecare LLC (Visiting Angels)
• Northeast Texas Homecare LLC

• Psychiatric/Mental Health Nurse Practitioner in Paris, TX
• Providers in Paris, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.