Active NPI
Herlihy Clinic P.C.
- Psychiatry Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- HERLIHY CLINIC P.C.
- Practice address
- 1695 E Southlake Blvd
Southlake, TX 76092-6424 - Phone
- (817) 442-0200
- Fax
- (817) 442-0204
- NPI assigned
- May 11, 2007
- Last updated
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Edward Herlihy, Jr., M.D.
- Title
- President
- Phone
- (817) 442-0200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1695 E Southlake Blvd
Southlake, TX 76092-6424
Mailing address
1695 E Southlake Blvd
Southlake, TX 76092-6424
Phone (817) 442-0200
National Provider Directory
National Provider DirectoryLocations
3351 Independence Dr
Ste 201
Homewood, AL 35209
Phone (251) 342-2253
2866 Dauphin St
Ste A
Mobile, AL 36606
Phone (251) 478-9119
1695 E Southlake Blvd
Southlake, TX 76092
Phone (817) 442-0200
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatry Physician
- Southlake, TX
- NPI 1992788491
-
- Clinical Social Worker
- Mount Vernon, AL
- NPI 1881835791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1821203969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 E SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926424",
"telephone_number": "817-442-0200",
"fax_number": "817-442-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 E SOUTHLAKE BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926424",
"telephone_number": "817-442-0200",
"fax_number": "817-442-0204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERLIHY CLINIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "HERLIHY,",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-442-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.