Organization Active NPI

Skytherapist Management Services Organization LLC

  • Adult Mental Health Clinic/Center
  • Houston, TX
National Provider Identifier
1689363368
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Aug 8, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.