Active NPI
Infocus Family Matters
Doing business as Family Matters InFocus
- Adolescent and Children Mental Health Clinic/Center
- Georgetown, TX
National Provider Identifier
1689432270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- INFOCUS FAMILY MATTERS
- Doing business as
- Family Matters InFocus
- Practice address
- 2840 Oak Haven Cir
Georgetown, TX 78628-9552 - Phone
- (848) 241-2959
- NPI assigned
- Mar 8, 2024
- 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
- Dr. Brady Kilgore McDaniels, LMFT
- Title
- Executive Clinical Director
- Phone
- (848) 241-2959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
2840 Oak Haven Cir
Georgetown, TX 78628-9552
Mailing address
2840 Oak Haven Cir
Georgetown, TX 78628-9552
Phone (848) 241-2959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174182505 | Medicaid | NJ |
Other names 1
- Family Matters InFocus
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Brick, NJ
- NPI 1174182505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709856000000",
"number": "1689432270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 OAK HAVEN CIR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786289552",
"telephone_number": "848-241-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 OAK HAVEN CIR",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786289552",
"telephone_number": "848-241-2959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFOCUS FAMILY MATTERS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2021-07-25",
"status": "A",
"authorized_official_last_name": "MCDANIELS",
"authorized_official_first_name": "BRADY",
"authorized_official_middle_name": "KILGORE",
"authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
"authorized_official_telephone_number": "848-241-2959",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174182505",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Matters InFocus",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.