Organization Active NPI

Bettison and Bettison of Texas Inc.

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1790709137
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETTISON AND BETTISON OF TEXAS INC.
Practice address
4107 Medical Pkwy
Suite 216
Austin, TX 78756-3735
Phone
(512) 692-9327
Fax
(713) 244-0059
NPI assigned
Jul 27, 2006
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Mr. John Calvin Bettison Sr., LCSW,SAPNPI 1053463133
Title
Director
Phone
(512) 692-9327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4107 Medical Pkwy
Suite 216
Austin, TX 78756-3735

Mailing address

4107 Medical Pkwy
Suite 216
Austin, TX 78756-3735
Phone (512) 692-9327

Other identifiers 1

IdentifierTypeStateIssuer
174035901MedicaidTX

National Provider Directory

National Provider Directory

Locations

4107 Medical Pkwy
Ste 216
Austin, TX 78756
Phone (512) 692-9327

2620 Fountain View Dr
#485
Houston, TX 77057
Phone (713) 244-0086

3934 FM 1960 Rd W
Ste 300E
Houston, TX 77068
Phone (281) 898-0903

4606 FM 1960 Rd W
Ste 400
Houston, TX 77069
Phone (281) 586-2288

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1790709137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY",
            "address_2": "SUITE 216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563735",
            "telephone_number": "512-692-9327",
            "fax_number": "713-244-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY",
            "address_2": "SUITE 216",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563735",
            "telephone_number": "512-692-9327",
            "fax_number": "713-244-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTISON AND BETTISON OF TEXAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "BETTISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-692-9327",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW,SAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174035901",
            "state": "TX"
        }
    ],
    "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 Apr 12, 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.