Organization Active NPI

Mosshill Discovery Center PLLC

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1831557636
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
72380 Issued in TX
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

Updated by the provider on Feb 8, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.