Carrollton Springs, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

CARROLLTON SPRINGS, LLC

Doing business as

Changes McKinney

Practice address

1820 N Lake Forest Dr
McKinney, TX 75071-7651

Phone

(469) 634-1270

Fax

(469) 634-1271

NPI assigned

Feb 1, 2021

Last updated

May 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Changes McKinney Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972194009. Details of each certification follow.

• CCN 454119 Hospital · Active · Details

Hospital certification: CCN 454119

Legal name

CARROLLTON SPRINGS LLC

Doing business as

CARROLLTON SPRINGS

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Apr 24, 2012

Last certification

Mar 20, 2024

Beds

78

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Incorporated

Jul 1, 2011 in DE

Enrollment address

2225 Parker Rd
Carrollton, TX 75010-4711
Main/Primary Hospital Location

Hospital subgroups

Psychiatric

Other NPIs on the same Medicare enrollment 2

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

• Carrollton Springs, LLC

  dba Carrollton Springs

  • Psychiatric Hospital
  • Carrollton, TX
  • NPI 1134401466

  O20111129000398

  Same enrollment
• Carrollton Springs, LLC

  dba Collin Springs

  • Psychiatric Hospital
  • McKinney, TX
  • NPI 1982483137

  O20111129000398

  Same enrollment

Listed as

Carrollton SpringsCCN 454119 · All quality measures

Type

Psychiatric

Ownership

Proprietary

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Tax ID family

Carrollton Springs LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Carrollton Springs, LLC

  dba Carrollton Springs

  • Psychiatric Hospital
  • Carrollton, TX
  • NPI 1134401466
  NPD tax ID
• Carrollton Springs, LLC

  dba Collin Springs

  • Psychiatric Hospital
  • McKinney, TX
  • NPI 1982483137
  NPD tax ID

Locations

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sadaf Noor, M.D

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1194108555
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1972194009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 OLYMPIA PARK PLZ STE 1000",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412090",
            "telephone_number": "502-916-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N LAKE FOREST DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717651",
            "telephone_number": "469-634-1270",
            "fax_number": "469-634-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387783901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changes McKinney",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Changes McKinney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Carr, LPC
• Chastity Carrillo, LPC
• Michelle Ivonne Carrion-to
• James P Carroll, M.D.
• Carrollton Springs Physician Group
• Carrollton Springs, LLC (Collin Springs)
• Carrus Behavioral Hospital LLC (Carrus Care McKinney)
• Danielle Carruth, MS, RD, LD
• Camille Rosemary Carryl
• Katrina Carson, OTA

• Psychiatric Hospital in McKinney, TX
• Providers in McKinney, TX by specialty
• Psychiatric Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.