Organization Active NPI

Tyler Behavioral Health

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1790951358
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TYLER BEHAVIORAL HEALTH
Practice address
5201 S Broadway Ave
Tyler, TX 75703-3748
Phone
(214) 943-9431
Fax
(214) 943-9407
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Linda L Riley
Title
Administrative Assistant
Phone
(214) 943-9431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5201 S Broadway Ave
Tyler, TX 75703-3748

Mailing address

PO Box 226656
Dallas, TX 75222-6656
Phone (214) 943-9431

National Provider Directory

National Provider Directory

Locations

5201 S Broadway Ave
Tyler, TX 75703

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1790951358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752226656",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033748",
            "telephone_number": "214-943-9431",
            "fax_number": "214-943-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "214-943-9431"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.