Organization Active NPI

Lubbock Psychiatry, PLLC.

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1952985285
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LUBBOCK PSYCHIATRY, PLLC.
Practice address
5416 114TH St, Suite 100
Lubbock, TX 79424-5731
Phone
(806) 785-1611
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Bradley Nelson
Title
Business Manager
Phone
(806) 544-0446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5416 114TH St, Suite 100
Lubbock, TX 79424-5731

Mailing address

5416 114TH St
Suite 100
Lubbock, TX 79424-7690
Phone (806) 544-0446

National Provider Directory

National Provider Directory

Locations

2424 50th St
Rm 104
Lubbock, TX 79412

5416 114th St
Ste 100
Lubbock, TX 79424
Phone (806) 785-1611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23737/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1952985285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 114TH ST",
            "address_2": "SUITE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247690",
            "telephone_number": "806-544-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 114TH ST, SUITE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245731",
            "telephone_number": "806-785-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK PSYCHIATRY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-01-25",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "806-544-0446"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.