Organization Active NPI

Hearts Foundation Inc

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1689088569
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
36904 Issued in TX
Legal business name
HEARTS FOUNDATION INC
Practice address
6300 John Ryan Dr
Fort Worth, TX 76132-4122
Phone
(310) 995-7427
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Beatix Sibylle Wagner, PYS.D.
Title
Executive Director
Phone
(310) 995-7427

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY23746 CA
Community/Behavioral Health Agency 251S00000X 36904 TX Primary

Addresses

Primary practice location

6300 John Ryan Dr
Fort Worth, TX 76132-4122

Mailing address

6300 John Ryan Dr
Fort Worth, TX 76132-4122
Phone (310) 995-7427

National Provider Directory

National Provider Directory

Locations

6300 John Ryan Dr
Fort Worth, TX 76132
Phone (817) 922-5995

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1689088569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "310-995-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "310-995-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BEATIX",
        "authorized_official_middle_name": "SIBYLLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-995-7427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PYS.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY23746",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "36904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.