NPIMap

Organization Active NPI

Center for Therapeutic Change, LTD.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1891084315
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2340 Issued in TX
Legal business name
CENTER FOR THERAPEUTIC CHANGE, LTD.
Practice address
6320 Brentwood S Stair Rd
Ft. Worth, TX 76112-7404
Phone
(817) 548-9990
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Kelly Bellmy
Title
Excetive Director
Phone
(817) 548-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2340 TX Primary

Addresses

Primary practice location

6320 Brentwood S Stair Rd
Ft. Worth, TX 76112-7404

Mailing address

605 E Border St
Arlington, TX 76010-7404
Phone (817) 548-9990

National Provider Directory

National Provider Directory
Tax ID family
Center for Therapeutic Change LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

605 E Border St
Arlington, TX 76010
Phone (817) 548-9990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1891084315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E BORDER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760107404",
            "telephone_number": "817-548-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 BRENTWOOD S STAIR RD",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "761127404",
            "telephone_number": "817-548-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THERAPEUTIC CHANGE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BELLMY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXCETIVE DIRECTOR",
        "authorized_official_telephone_number": "817-548-9990"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "2340",
            "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 Apr 5, 2011; 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.