NPIMap

Organization Active NPI

Ips Burleson

  • Psychiatric Hospital
  • Burleson, TX
National Provider Identifier
1720320567
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
IPS BURLESON
Practice address
621 SW Johnson Ave Ste C
Burleson, TX 76028-5834
Phone
(817) 447-3001
Fax
(817) 447-3299
NPI assigned
Mar 19, 2013
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
INNOVATIVE PSYCHIATRIC SOLUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Jennifer KincaidNPI 1982844767
Title
President/Ceo
Phone
(325) 829-4371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

621 SW Johnson Ave Ste C
Burleson, TX 76028-5834

Mailing address

621 SW Johnson Ave Ste C
Burleson, TX 76028-5834

National Provider Directory

National Provider Directory
Tax ID family
Ips Irving22 organizations share this tax ID, including this one
Part of
Ips Irving

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1720320567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE STE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285834",
            "telephone_number": "817-447-3001",
            "fax_number": "817-447-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPS BURLESON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE PSYCHIATRIC SOLUTIONS, INC.",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "325-829-4371"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.