Ascension Providence

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

ASCENSION PROVIDENCE

Doing business as

Ascension Providence Depaul Center

Practice address

301 Londonderry Dr
Waco, TX 76712-7915

Phone

(254) 751-4146

Fax

(254) 751-4283

NPI assigned

Apr 23, 2010

Last updated

Dec 27, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ASCENSION PROVIDENCEAs reported in NPPES

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

Authorized official

Name

Philip Patterson

Title

Administrator

Phone

(254) 751-4766

Specialties & licenses 1

Addresses

Other names 1

• ASCENSION PROVIDENCE DEPAUL CENTER Doing business as

Part of

Providence Depaul Ctr

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1730406265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206121",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753206121",
            "telephone_number": "254-751-4146",
            "fax_number": "254-751-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LONDONDERRY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127915",
            "telephone_number": "254-751-4146",
            "fax_number": "254-751-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION PROVIDENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION PROVIDENCE",
        "enumeration_date": "2010-04-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-751-4766"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION PROVIDENCE DEPAUL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louanna G Arterburn, LPC
• Kristin M Arterbury, LPC ASSOCIATE
• Ascension Providence
• Ascension Providence (Ascension Providence Plaza Outpatient Pharmacy)
• Ascension Providence (Ascension Providence Salome Inpatient Rehabilitation Center)
• Hannah Ashley, LCSW
• Ian Ashley, MD
• Christopher E Asikis, LMFT, LCDC
• Monis Aslam
• At Your Place LLC

• Psychiatric Hospital Unit in Waco, TX
• Providers in Waco, TX by specialty
• Psychiatric Hospital Unit in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.