NPIMap

Organization Active NPI

WCHS of Texas

  • Addiction (Substance Use Disorder) Psychologist
  • Fort Worth, TX
National Provider Identifier
1801933361
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
0000082 Issued in TX
Legal business name
WCHS OF TEXAS
Practice address
700 Hemphill Street, Ste a
Fort Worth, TX 76104-3105
Phone
(918) 334-0111
Fax
(817) 334-0249
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Phil Herschman
Title
Otp Division President
Phone
(760) 918-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X 0000082 TX Primary

Addresses

Primary practice location

700 Hemphill Street, Ste a
Fort Worth, TX 76104-3105

Mailing address

700 Hemphill St Ste a
Fort Worth, TX 76104-3105
Phone (817) 334-0111

Other identifiers 1

IdentifierTypeStateIssuer
0000082OtherTXSTATE LICENSE NUMBER

Other names 1

  • Hemphill Treatment Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
WCHS the Renton Clinic26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801933361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HEMPHILL ST STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043105",
            "telephone_number": "817-334-0111",
            "fax_number": "817-334-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HEMPHILL STREET, STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043105",
            "telephone_number": "918-334-0111",
            "fax_number": "817-334-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCHS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSCHMAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OTP DIVISION PRESIDENT",
        "authorized_official_telephone_number": "760-918-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "0000082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0000082",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hemphill Treatment Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.