NPIMap

Organization Active NPI

Texas Behavioral Health PLLC

  • Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1881044337
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TEXAS BEHAVIORAL HEALTH PLLC
Practice address
12234 Shadow Creek Pkwy
Building 4 Suite 104
Pearland, TX 77584-7330
Phone
(713) 429-5325
Fax
(281) 816-5931
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Salah Qureshi, MDNPI 1487833042
Title
Partner
Phone
(713) 429-5325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy
Building 4 Suite 104
Pearland, TX 77584-7330

Mailing address

12234 Shadow Creek Pkwy
Building 4 Suite 104
Pearland, TX 77584-7330
Phone (713) 429-5325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160920001430 TX Part B Supplier - Clinic/Group Practice 3971890948 Receives reassigned benefits from 81 practitioners
Practice locations: Beaumont, TX; Friendswood, TX; Houston, TX; Katy, TX; Pasadena, TX; Pearland, TX; Sugar Land, TX
O20251222002365 CO Part B Supplier - Clinic/Group Practice 3971890948 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

3190 S Vaughn Way
Ste 55
Aurora, CO 80014

922 State St
Ste 103
Bowling Green, KY 42101

1500 NW Bethany Blvd
Ste 200
Hillsboro, OR 97006
Phone (503) 708-0523

2929 Calder St
Ste 312
Beaumont, TX 77702
Phone (409) 835-1333

50 Briar Hollow Ln
Ste 290W
Houston, TX 77027
Phone (281) 810-7781

503 Park Grove Dr
Katy, TX 77450
Phone (281) 647-0026

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (281) 315-9508

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

800 Bonaventure Way
Ste 137
Sugar Land, TX 77479

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1881044337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY",
            "address_2": "BUILDING 4 SUITE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-429-5325",
            "fax_number": "281-816-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY",
            "address_2": "BUILDING 4 SUITE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330",
            "telephone_number": "713-429-5325",
            "fax_number": "281-816-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "713-429-5325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.