NPIMap

Organization Active NPI

Centria Healthcare

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1881046217
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRIA HEALTHCARE
Practice address
3813 Clotell Dr
Fort Worth, TX 76119-7742
Phone
(682) 201-0889
NPI assigned
Jul 9, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Danielle Rosemary Bernice Smith, BAS PSYCHOLOGY
Title
Behavior Technician
Phone
(682) 201-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TX Primary

Addresses

Primary practice location

3813 Clotell Dr
Fort Worth, TX 76119-7742

Mailing address

3813 Clotell Dr
Fort Worth, TX 76119-7742
Phone (682) 201-0889

National Provider Directory

National Provider Directory
Tax ID family
US Coast Guard6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881046217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 CLOTELL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761197742",
            "telephone_number": "682-201-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 CLOTELL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761197742",
            "telephone_number": "682-201-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "ROSEMARY BERNICE",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "682-201-0889",
        "authorized_official_credential": "BAS PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.