NPIMap

Organization Active NPI

North Texas Behavioral Clinic LLC

Doing business as North Texas Behavioral IOP

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Waxahachie, TX
National Provider Identifier
1699470047
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
NORTH TEXAS BEHAVIORAL CLINIC LLC
Doing business as
North Texas Behavioral IOP
Practice address
3084 W Highway 287 Byp
Waxahachie, TX 75167-5000
Phone
(817) 962-0409
Fax
(817) 200-6743
NPI assigned
Apr 4, 2023
Organization subpart
Yes
Parent organization
NORTH TEXAS BEHAVIORAL CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Rebecca A AbuorNPI 1356593974
Title
Owner
Phone
(817) 962-0409

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

3084 W Highway 287 Byp
Waxahachie, TX 75167-5000

Mailing address

3084 W Highway 287 Byp
Waxahachie, TX 75167-5000
Phone (817) 962-0409

Other names 1

  • North Texas Behavioral IOP Doing business as

National Provider Directory

National Provider Directory
Part of
North Texas Behavioral Clinic LLC

Locations

3084 W Highway 287 Byp
Waxahachie, TX 75167
Phone (817) 962-0409

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1699470047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 W HIGHWAY 287 BYP",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751675000",
            "telephone_number": "817-962-0409",
            "fax_number": "817-200-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 W HIGHWAY 287 BYP",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751675000",
            "telephone_number": "817-962-0409",
            "fax_number": "817-200-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH TEXAS BEHAVIORAL CLINIC LLC",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ABUOR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-962-0409"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Behavioral IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.