Organization Active NPI

Coastal Bend Behavioral Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1881348787
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COASTAL BEND BEHAVIORAL CLINIC
Practice address
1400 Ocean Dr
#1103A
Corpus Christi, TX 78404-2120
Phone
(361) 658-7869
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Ms. Hatira Watts, PMHNP
Title
Pmhnp-BC
Phone
(361) 656-7869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1400 Ocean Dr
#1103A
Corpus Christi, TX 78404-2120

Mailing address

1400 Ocean Dr
#1103A
Corpus Christi, TX 78404-2120
Phone (361) 658-7869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1881348787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OCEAN DR",
            "address_2": "#1103A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042120",
            "telephone_number": "361-658-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OCEAN DR",
            "address_2": "#1103A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042120",
            "telephone_number": "361-658-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND BEHAVIORAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "HATIRA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "361-656-7869",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.