Organization Active NPI

Thomas E Murray Et Al PTR

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muncie, IN
National Provider Identifier
1902878705
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THOMAS E MURRAY ET AL PTR
Practice address
3645 N Briarwood Lane
Suite a
Muncie, IN 47304-5337
Phone
(765) 289-5520
Fax
(765) 289-5840
NPI assigned
Feb 6, 2006
Organization subpart
Yes
Parent organization
THOMAS E MURRAY ET AL PTRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Thomas E Murray, EDD, HSPP
Title
Owner
Phone
(765) 289-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3645 N Briarwood Lane
Suite a
Muncie, IN 47304-5337

Mailing address

3645 N Briarwood Lane
Suite a
Muncie, IN 47304-5337
Phone (765) 289-5520

Other identifiers 4

IdentifierTypeStateIssuer
100468380MedicaidIN
000000179679OtherINANTHEM BC BS
207238000OtherINMAGELLAN
100468380AMedicaidIN

Other names 1

  • Briarwood Clinic, The Doing business as

National Provider Directory

National Provider Directory
Part of
Briarwood Clinic

Locations

3645 N Briarwood Ln
Ste C
Muncie, IN 47304
Phone (765) 289-5520

3645 N Briarwood Ln
Ste A
Muncie, IN 47304
Phone (765) 289-5520

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1902878705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LANE",
            "address_2": "SUITE A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045337",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LANE",
            "address_2": "SUITE A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045337",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E MURRAY ET AL PTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS E MURRAY ET AL PTR",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-289-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, HSPP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468380",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000179679",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "207238000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468380A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarwood Clinic, The",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.