Active NPI
Skytherapist Management Services Organization LLC
- Adult Mental Health Clinic/Center
- Houston, TX
National Provider Identifier
1689363368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SKYTHERAPIST MANAGEMENT SERVICES ORGANIZATION LLC
- Practice address
- 3730 Kirby Dr Ste 1200
Houston, TX 77098-3985 - Phone
- (404) 579-9167
- NPI assigned
- May 8, 2023
- 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. Keith Jones
- Title
- Principle
- Phone
- (404) 579-9167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
3730 Kirby Dr Ste 1200
Houston, TX 77098-3985
Mailing address
4480 South Cobb Drive Unit 503
Smyrna, GA 30080
Phone (404) 579-9167
National Provider Directory
National Provider DirectoryLocations
4480 S Cobb Dr SE
Unit 503
Smyrna, GA 30080
1169 Eastern Pkwy
Ste 2231
Louisville, KY 40217
Phone (404) 579-9167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1689363368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 SOUTH COBB DRIVE UNIT 503",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "404-579-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 KIRBY DR STE 1200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983985",
"telephone_number": "404-579-9167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYTHERAPIST MANAGEMENT SERVICES ORGANIZATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PRINCIPLE",
"authorized_official_telephone_number": "404-579-9167",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.