Organization Active NPI

Open Roads Behavioral Health PLLC

  • Community/Behavioral Health Agency
  • Round Rock, TX
National Provider Identifier
1972053403
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
33043 Issued in TX
Legal business name
OPEN ROADS BEHAVIORAL HEALTH PLLC
Practice address
17751 Park Valley Dr
Round Rock, TX 78681-3592
Phone
(512) 218-6000
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Mrs. Jaime Nelson, NP
Title
MBR
Phone
(512) 373-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 33043 TX Primary

Addresses

Primary practice location

17751 Park Valley Dr
Round Rock, TX 78681-3592

Mailing address

5808 Lookout Mountain Dr
Austin, TX 78731-3618

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1972053403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 LOOKOUT MOUNTAIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313618",
            "fax_number": "866-869-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 PARK VALLEY DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813592",
            "telephone_number": "512-218-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ROADS BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "512-373-6280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "33043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.