NPIMap

Organization Active NPI

Beacon Behavioral of Texas PA

Doing business as The Grant Group

  • Psychiatry Physician
  • Bedford, TX
National Provider Identifier
1811725708
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEACON BEHAVIORAL OF TEXAS PA
Doing business as
The Grant Group
Practice address
1604 Hospital Pkwy Ste 507&508
Bedford, TX 76022-6986
Phone
(817) 354-7268
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BEACON BEHAVIORAL OF TEXAS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Kimberly Glaveskas
Title
Credentialing Supervisor
Phone
(214) 550-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 507&508
Bedford, TX 76022-6986

Mailing address

22 Prestige Cir Ste 200
Allen, TX 75002-3441

Other names 1

  • The Grant Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon Behavioral of TX PA7 organizations share this tax ID, including this one
Part of
Beacon Behavioral of TX PA

Other organizations with this tax ID 6

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

Locations

1604 Hospital Pkwy
Ste 507508
Bedford, TX 76022
Phone (817) 354-7268

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1811725708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PRESTIGE CIR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 507&508",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226986",
            "telephone_number": "817-354-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON BEHAVIORAL OF TEXAS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON BEHAVIORAL OF TEXAS PA",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GLAVESKAS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "214-550-7536"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grant Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.