NPIMap

Andrew Center -Adt MH

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Tyler, TX

NPI 1891162871 · NPPES record last updated Jun 23, 2026

Key facts

NPI
1891162871
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
Legal business name
ANDREW CENTER -ADT MH
Practice address
3111 WNW Loop 323
Tyler, TX 75702-1340
Phone
(903) 597-1351
NPI assigned
Aug 26, 2015
Organization subpart
No

Authorized official

Name
Randa Haywood
Title
Cfo
Phone
(903) 597-1351

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 20

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

Practitioners 10

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040519001179 TX Part B Supplier - Clinic/Group Practice 9739170770 Receives reassigned benefits from 71 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tyler, TX; Mineola, TX; Canton, TX; Athens, TX; Emory, TX

National Provider Directory

Tax ID family
Andrews Center -Pinkerton (21 organizations share this tax ID)

Locations

3111 Wnw Loop 323
Tyler, TX 75702
Phone (903) 533-8047

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Yes

Addresses

Primary practice location

3111 WNW Loop 323
Tyler, TX 75702-1340

Mailing address

3111 WNW Loop 323
Tyler, TX 75702-1340

Other providers in Tyler, TX

All providers in Tyler, TX · Mental Illness Community Based Residential Treatment Facility in Texas

Sources for this page

Verify at the official NPI Registry.