NPIMap

Organization Active NPI

Gulf Bend Mental Health Mental Retardation Center

  • Behavior Analyst
  • Victoria, TX
National Provider Identifier
1841011996
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER
Practice address
6502 Nursery Dr Ste 100
Victoria, TX 77904-1181
Phone
(361) 582-2331
Fax
(361) 579-6913
NPI assigned
Oct 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Felicia Ann Neisser
Title
Revenue Manager
Phone
(361) 575-0611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6502 Nursery Dr Ste 100
Victoria, TX 77904-1181

Mailing address

6502 Nursery Dr Ste 100
Victoria, TX 77904-1181
Phone (361) 582-2331

Other names 1

  • Gulf Bend Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Bend MHMR Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1841011996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR STE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041181",
            "telephone_number": "361-582-2331",
            "fax_number": "361-579-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 NURSERY DR STE 100",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041181",
            "telephone_number": "361-582-2331",
            "fax_number": "361-579-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "NEISSER",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REVENUE  MANAGER",
        "authorized_official_telephone_number": "361-575-0611"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Bend Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

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