Active NPI
Mosshill Discovery Center PLLC
- Community/Behavioral Health Agency
- Fort Worth, TX
National Provider Identifier
1831557636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 72380
- Legal business name
- MOSSHILL DISCOVERY CENTER PLLC
- Doing business as
- Madeline Wend
- Practice address
- 3001 W 5TH St Ste 800
Fort Worth, TX 76107-8909 - Phone
- (817) 301-7374
- NPI assigned
- Feb 8, 2016
- 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
- Mrs. Madeline Marie Wend, LPC
- Title
- Clinical Director/Owner
- Phone
- (817) 301-7374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 72380 | TX | Primary |
Addresses
Primary practice location
3001 W 5TH St Ste 800
Fort Worth, TX 76107-8909
Mailing address
3001 W 5TH St Ste 800
Fort Worth, TX 76107-8909
Phone (817) 301-7374
Other names 1
- Madeline Wend
National Provider Directory
National Provider DirectoryLocations
3001 W 5th St
Ste 800
Fort Worth, TX 76107
Phone (817) 301-7374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1831557636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 W 5TH ST STE 800",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761078909",
"telephone_number": "817-301-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W 5TH ST STE 800",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761078909",
"telephone_number": "817-301-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSSHILL DISCOVERY CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "WEND",
"authorized_official_first_name": "MADELINE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
"authorized_official_telephone_number": "817-301-7374",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "72380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Madeline Wend",
"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 Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.