Organization Active NPI

Clinic Resources Management, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
National Provider Identifier
1972618684
Registry record updated Dec 21, 2010
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
CLINIC RESOURCES MANAGEMENT, LLC
Practice address
1320 Quitman St
Houston, TX 77009-7936
Phone
(713) 227-8246
Fax
(713) 222-0464
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mr. Nathan D. Ingram
Title
Administrator
Phone
(713) 227-8246

Specialties & licenses 1

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

Addresses

Primary practice location

1320 Quitman St
Houston, TX 77009-7936

Mailing address

1320 Quitman St
Houston, TX 77009-7936
Phone (713) 227-8246

Other identifiers 1

IdentifierTypeStateIssuer
021292001MedicaidTX

National Provider Directory

National Provider Directory

Locations

1219 Quitman St
Houston, TX 77009
Phone (713) 225-1909

1320 Quitman St
Houston, TX 77009
Phone (713) 222-0450

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1972618684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 QUITMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097936",
            "telephone_number": "713-227-8246",
            "fax_number": "713-222-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 QUITMAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097936",
            "telephone_number": "713-227-8246",
            "fax_number": "713-222-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC RESOURCES MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-227-8246",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "021292001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.