Organization Active NPI

The Menninger Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
National Provider Identifier
1619361748
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
100144 Issued in TX
Legal business name
THE MENNINGER CLINIC
Practice address
12301 Main St
Houston, TX 77035-6207
Phone
(713) 275-5000
Fax
(713) 275-5120
NPI assigned
Mar 26, 2015
Organization subpart
Yes
Parent organization
THE MENNINGER CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Jonathan Stevens, MD MPH
Title
Clinical Director for Outpatient SV
Phone
(713) 275-5319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 100144 TX Primary

Addresses

Primary practice location

12301 Main St
Houston, TX 77035-6207

Mailing address

12301 Main St
Houston, TX 77035-6207
Phone (713) 275-5000

Other names 1

  • Outpatient Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Outpatient Services2 organizations share this tax ID, including this one
Part of
The Menninger Clinic

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1619361748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5000",
            "fax_number": "713-275-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356207",
            "telephone_number": "713-275-5000",
            "fax_number": "713-275-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENNINGER CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MENNINGER CLINIC",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR FOR OUTPATIENT SV",
        "authorized_official_telephone_number": "713-275-5319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "100144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.