Organization Active NPI

Paradigm Treatment Texas, LLC

  • Psychiatric Residential Treatment Facility
  • Austin, TX
National Provider Identifier
1851048995
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PARADIGM TREATMENT TEXAS, LLC
Practice address
11949 Escarpment Blvd
Austin, TX 78739-1549
Phone
(737) 400-4496
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Dustin Wagner
Title
Ceo
Phone
(310) 457-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

11949 Escarpment Blvd
Austin, TX 78739-1549

Mailing address

12424 Wilshire Blvd Ste 800
Los Angeles, CA 90025-1035
Phone (310) 457-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admissions@paradigmtreatment.com Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2277109Paradigm Treatment Texas11949 Escarpment Blvd, Austin, TX 78739Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

11949 Escarpment Blvd
Austin, TX 78739
Phone (737) 373-2379

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1851048995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251035",
            "telephone_number": "310-457-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 ESCARPMENT BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787391549",
            "telephone_number": "737-400-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM TREATMENT TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-457-9008"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admissions@paradigmtreatment.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11949 Escarpment Blvd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787391549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.