Organization Active NPI

Aptus Life

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grapevine, TX
National Provider Identifier
1710707872
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.