Alpha Behavioral Health Systems, Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

ALPHA BEHAVIORAL HEALTH SYSTEMS, INC

Practice address

111 Fisk Rd
Seagoville, TX 75159-2408

Phone

(469) 964-0916

Fax

(512) 336-2590

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Edwin Shields

Title

Ceo

Phone

(469) 964-0916

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1578704656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FISK RD",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592408",
            "telephone_number": "469-964-0916",
            "fax_number": "512-336-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FISK RD",
            "city": "SEAGOVILLE",
            "state": "TX",
            "postal_code": "751592408",
            "telephone_number": "469-964-0916",
            "fax_number": "512-336-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA BEHAVIORAL HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-964-0916"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Seagoville, TX
• Providers in Seagoville, TX by specialty
• Public Health or Welfare Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.