St Mary'S Behavioral Pain Management

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19765 Issued in TX

Legal business name

ST MARY'S BEHAVIORAL PAIN MANAGEMENT

Practice address

3033 Fannin St
Houston, TX 77004-3258

Phone

(713) 652-0011

Fax

(713) 652-0015

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Tommy Castle

Title

Office Manager

Phone

(713) 652-0011

Specialties & licenses 1

Addresses

Tax ID family

Houston Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• St Mary'S Behavioral Pain Management

  • Chiropractor
  • Houston, TX
  • NPI 1063947588
  NPD tax ID
• St. Mary'S Behavioral Health

  • Adult Mental Health Clinic/Center
  • Houston, TX
  • NPI 1861589699
  NPD tax ID

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679586499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043258",
            "telephone_number": "713-652-0011",
            "fax_number": "713-652-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043258",
            "telephone_number": "713-652-0011",
            "fax_number": "713-652-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S BEHAVIORAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-652-0011"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Medical Tower Phcy
• St Lukes Therapy Center Inc
• St Madison Community Mental Health Center Inc
• Brandi Demouy St Marie, LPC
• St Mary'S Behavioral Pain Management
• St Mary'S Healthcare Inc
• St Mary'S Home Health LLC
• St Marys Medi Spa LLC
• St Michael Healthcare Services, Inc.
• St Michael Medical Clinic P a

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.