Organization Active NPI

Elevate Healthcare - Wylie LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wylie, TX
National Provider Identifier
1801466578
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVATE HEALTHCARE - WYLIE LLC
Practice address
611 S Highway 78 Ste 103
Wylie, TX 75098-4084
Phone
(469) 661-9204
Fax
(469) 661-9179
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ELEVATE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Margie Barilla
Title
Founder/President
Phone
(214) 843-8503

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Psychiatric Hospital 283Q00000X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU

Addresses

Primary practice location

611 S Highway 78 Ste 103
Wylie, TX 75098-4084

Mailing address

18333 Preston Rd Ste 310
Dallas, TX 75252-6144
Phone (214) 396-0717

National Provider Directory

National Provider Directory
Part of
Elevate Healthcare LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1801466578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 PRESTON RD STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752526144",
            "telephone_number": "214-396-0717",
            "fax_number": "469-372-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 103",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984084",
            "telephone_number": "469-661-9204",
            "fax_number": "469-661-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTHCARE - WYLIE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEVATE HEALTHCARE LLC",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "BARILLA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "214-843-8503"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.