NPIMap

Organization Active NPI

Ut Southwestern Medical Center

  • Adult Mental Health Clinic/Center
  • Dallas, TX
National Provider Identifier
1962755017
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
36320 Issued in TX
Legal business name
UT SOUTHWESTERN MEDICAL CENTER
Practice address
Ut Southwestern Medical Ctr
Neuropsychology 8846, 5323 Harry Hines Blvd
Dallas, TX 75390-0001
Phone
(214) 648-4687
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Michele Blue
Title
Medical Staff Credentialing
Phone
(214) 645-7811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 36320 TX Primary
Adult Mental Health Clinic/Center 261QM0850X 6301014547 MI

Addresses

Primary practice location

Ut Southwestern Medical Ctr
Neuropsychology 8846, 5323 Harry Hines Blvd
Dallas, TX 75390-0001

Mailing address

Ut Southwestern Medical Ctr
Neuropsychology 8846, 5323 Harry Hines Blvd
Dallas, TX 75390-0001

National Provider Directory

National Provider Directory
Tax ID family
Genetic Diagnostic Group79 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1962755017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UT SOUTHWESTERN MEDICAL CTR",
            "address_2": "NEUROPSYCHOLOGY 8846, 5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT SOUTHWESTERN MEDICAL CTR",
            "address_2": "NEUROPSYCHOLOGY 8846, 5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753900001",
            "telephone_number": "214-648-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT SOUTHWESTERN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MEDICAL STAFF CREDENTIALING",
        "authorized_official_telephone_number": "214-645-7811"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "36320",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301014547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.