Organization Active NPI

Southern Area HIV-AIDS Awareness Education and Prevention Center

  • Adult Mental Health Clinic/Center
  • Mesquite, TX
National Provider Identifier
1609363696
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOUTHERN AREA HIV-AIDS AWARENESS EDUCATION AND PREVENTION CENTER
Practice address
1424 Copper Meadow Dr
Mesquite, TX 75149-6879
Phone
(972) 740-7445
NPI assigned
Apr 16, 2018
Organization subpart
Yes
Parent organization
SOUTHERN AREA HIV-AIDS AWARENESS EDUCATION AND PREVENTION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Rick J Davis, PH.D
Title
President & Ceo
Phone
(972) 740-7445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X TX Primary

Addresses

Primary practice location

1424 Copper Meadow Dr
Mesquite, TX 75149-6879

Mailing address

1424 Copper Meadow Dr # a
Mesquite, TX 75149-6879
Phone (972) 740-7445

Other names 1

  • ADULT BEHAVIORAL CARE Doing business as

National Provider Directory

National Provider Directory
Part of
Southern Area HIV-AIDS Awareness Education and Prevention Center

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1609363696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 COPPER MEADOW DR # A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496879",
            "telephone_number": "972-740-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 COPPER MEADOW DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496879",
            "telephone_number": "972-740-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN AREA HIV-AIDS AWARENESS EDUCATION AND PREVENTION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN AREA HIV-AIDS AWARENESS EDUCATION AND PREVENTION CENTER",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "972-740-7445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT BEHAVIORAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.