Active NPI
Cedar Crest Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austin, TX
National Provider Identifier
1669870275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CEDAR CREST CLINIC
- Practice address
- 8402 Cross Park Dr
Austin, TX 78754-4595 - Phone
- (884) 572-4956
- NPI assigned
- Dec 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian P Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
8402 Cross Park Dr
Austin, TX 78754-4595
Mailing address
6100 Tower Cir Ste 1000
Franklin, TN 37067-1509
Phone (615) 861-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wichita Falls, TX
- NPI 1083384424
O20031121000632
National Provider Directory
National Provider Directory- Tax ID family
- Cedar Crest Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Belton, TX
- NPI 1497316277
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- San Antonio, TX
- NPI 1881903623
-
- Psychiatric/Mental Health Nurse Practitioner
- Marysville, WA
- NPI 1053073114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1669870275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 TOWER CIR STE 1000",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370671509",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8402 CROSS PARK DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544595",
"telephone_number": "884-572-4956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEDAR CREST CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-12",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.