Mental Aspects Behavioral Health Clinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTAL ASPECTS BEHAVIORAL HEALTH CLINIC

Practice address

12702 Toepperwein Rd Ste 236
Live Oak, TX 78233-3231

Phone

(210) 475-3617

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Renee Licorish, APRNNPI 1437618097

Title

Owner

Phone

(210) 475-3617

Specialties & licenses 1

Addresses

Practitioners 1

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

• Renee Licorish, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1437618097
  NPD (past) Authorized official

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1760141733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 236",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333231",
            "telephone_number": "210-475-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 TOEPPERWEIN RD STE 236",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333231",
            "telephone_number": "210-475-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL ASPECTS BEHAVIORAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "LICORISH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-475-3617",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra A McLaughlin, RN
• Medical Oncology of San Antonio PA
• Arianna Belle Medrano
• Nallely Mendiola
• Leonardo Mendoza, DPT
• Mikaela Mercer
• Julianna Mery
• Juliana Messina
• Methodist Healthcare System of San Antonio LTD LLP (Northeast Methodist Hospital)
• Methodist Healthcare System of San Antonio, LTD., L.L.P. (Northeast Methodist Hospital)

• Psychiatric/Mental Health Nurse Practitioner in Live Oak, TX
• Providers in Live Oak, 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 16, 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.