Active NPI
Aptus Life
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grapevine, TX
National Provider Identifier
1710707872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- APTUS LIFE
- Practice address
- 1501 Hughes Rd Ste 103
Grapevine, TX 76051-7452 - Phone
- (817) 891-3405
- NPI assigned
- Oct 14, 2024
- Last updated
- Oct 14, 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
- Jay Serbin Brenner
- Title
- Founder
- Phone
- (817) 891-3405
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1501 Hughes Rd Ste 103
Grapevine, TX 76051-7452
Mailing address
3839 McKinney Ave Ste 155
Dallas, TX 75204-1488
Phone (817) 891-3405
National Provider Directory
National Provider DirectoryLocations
1501 Hughes Rd
Ste 103
Grapevine, TX 76051
Phone (817) 284-9875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1710707872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 MCKINNEY AVE STE 155",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041488",
"telephone_number": "817-891-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HUGHES RD STE 103",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760517452",
"telephone_number": "817-891-3405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APTUS LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "BRENNER",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "SERBIN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "817-891-3405"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.