Integrative Behavioral Health of Central Texas

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INTEGRATIVE BEHAVIORAL HEALTH OF CENTRAL TEXAS

Practice address

1600 Lake Air Dr Ste 117
Waco, TX 76710-2904

Phone

(254) 315-3870

NPI assigned

Jul 23, 2022

Organization subpart

No

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

Authorized official

Name

Cassie Kendrick, PSYDNPI 1215342944

Title

Owner

Phone

(254) 315-3870

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cassie E Kendrick, PSYD

  • Clinical Psychologist
  • Waco, TX
  • NPI 1215342944
  NPD Authorized official

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658534400000",
    "number": "1609501584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKE AIR DR STE 117",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102904",
            "telephone_number": "254-315-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LAKE AIR DR STE 117",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102904",
            "telephone_number": "254-315-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BEHAVIORAL HEALTH OF CENTRAL TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-315-3870",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Waco, TX
• Providers in Waco, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.