NPIMap

Organization Active NPI

Austin Travis County MHMR Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Austin, TX
National Provider Identifier
1720377591
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
166 - 3396 Issued in TX
Legal business name
AUSTIN TRAVIS COUNTY MHMR CENTER
Doing business as
Austin Travis County Integral Care
Practice address
825 East Rundberg Lane, Unit F
Austin, TX 78753
Phone
(512) 804-3900
Fax
(512) 804-3901
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Charles E. Harrison
Title
Chief Financial Offier, Coo
Phone
(512) 440-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 166 - 3396 TX Primary

Addresses

Primary practice location

825 East Rundberg Lane, Unit F
Austin, TX 78753

Mailing address

PO Box 3548
Austin, TX 78764-3548
Phone (512) 472-4357

Other names 1

  • Austin Travis County Integral Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Austin Travis County Integral Care10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

825 E Rundberg Ln
Unit F
Austin, TX 78753
Phone (512) 804-3900

Practitioners & affiliated clinicians

Practitioners 1

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": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1720377591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787643548",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EAST RUNDBERG LANE, UNIT F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78753",
            "telephone_number": "512-804-3900",
            "fax_number": "512-804-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN TRAVIS COUNTY MHMR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFIER, COO",
        "authorized_official_telephone_number": "512-440-4001"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "166 - 3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Travis County Integral Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.