North Texas Behavioral Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

641881 Issued in TX

Legal business name

NORTH TEXAS BEHAVIORAL CLINIC LLC

Practice address

715 N Fielder Rd
Arlington, TX 76012-4695

Phone

(817) 962-0409

Fax

(817) 200-6743

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Rebecca A Abuor, DNP

Title

Owner

Phone

(469) 733-3223

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• North Texas Behavioral Clinic LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Waxahachie, TX
  • NPI 1699470047
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Michelle Hamrick, LCSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1942316120
  NPD
• Saundra Robinson, LPC

  • Professional Counselor
  • Dallas, TX
  • NPI 1194204560
  NPD
• Somsri Griffin, MD

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1841258878
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1740695915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124695",
            "telephone_number": "817-962-0409",
            "fax_number": "817-200-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124695",
            "telephone_number": "817-962-0409",
            "fax_number": "817-200-6743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 W Highway 287 Byp",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751675000",
            "country_code": "US",
            "telephone_number": "817-962-0409",
            "fax_number": "817-200-6743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "ABUOR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-733-3223",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "641881",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203955402",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "715 N Fielder Rd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760124695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• North Central Texas Council of Governments
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• North Texas Addiction Counseling & Education, Inc.
• North Texas Area Community Health Centers, Inc
• North Texas Community Initiative, Inc.
• North Texas Internal Medicine Associates PA
• North Texas Medical Group PLLC
• North Texas Nephrology Associates PA
• North Texas Nephrology Associates, P.a.

• Psychiatric/Mental Health Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.