NPIMap

Organization Active NPI

Green Oaks

  • Adult Mental Health Clinic/Center
  • Dallas, TX
National Provider Identifier
1649640749
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
13829 Issued in TX
Legal business name
GREEN OAKS
Practice address
12221 Merit Dr Ste 400
Dallas, TX 75251-2291
Phone
(972) 770-1012
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Mike Ashworth, PH.D.
Title
Executive Director, Outpatient Serv
Phone
(972) 969-2472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 13829 TX Primary

Addresses

Primary practice location

12221 Merit Dr Ste 400
Dallas, TX 75251-2291

Mailing address

12221 Merit Dr Ste 400
Dallas, TX 75251-2291

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0931260Medical City Green Oaks Hospital12221 Merit Drive Ste 400, Dallas, TX 75251Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Green Oaks8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

12221 Merit Dr
Ste 400
Dallas, TX 75251
Phone (972) 701-3626

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1649640749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512291",
            "telephone_number": "972-770-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "ASHWORTH",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, OUTPATIENT SERV",
        "authorized_official_telephone_number": "972-969-2472",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "13829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.