NPIMap

Organization Active NPI

Spectrum Social and Recreation Services, LLC

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1770877342
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM SOCIAL AND RECREATION SERVICES, LLC
Practice address
1509 W North Loop Blvd
Austin, TX 78756-2004
Phone
(512) 524-5482
Fax
(512) 524-1177
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Mrs. Shanna Kemp, M.ED.
Title
Partner / Business Manager
Phone
(512) 524-5482

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1509 W North Loop Blvd
Austin, TX 78756-2004

Mailing address

1509 W North Loop Blvd
Austin, TX 78756-2004
Phone (512) 524-5482

National Provider Directory

National Provider Directory

Locations

1509 W North Loop Blvd
Austin, TX 78756
Phone (512) 524-5482

Practitioners & affiliated clinicians

Practitioners 4

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": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1770877342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 W NORTH LOOP BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562004",
            "telephone_number": "512-524-5482",
            "fax_number": "512-524-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W NORTH LOOP BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787562004",
            "telephone_number": "512-524-5482",
            "fax_number": "512-524-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SOCIAL AND RECREATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "PARTNER / BUSINESS MANAGER",
        "authorized_official_telephone_number": "512-524-5482",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 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.