Organization Active NPI

Beckloff Pediatric Behavioral Center

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1972971786
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
68931 Issued in TX
Legal business name
BECKLOFF PEDIATRIC BEHAVIORAL CENTER
Practice address
17210 Campbell Rd
200
Dallas, TX 75252-4202
Phone
(972) 250-1700
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BECKLOFF PEDIATRIC BEHAVIORAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Katlin Schrodt, M.ED., LPC, NCCNPI 1720457302
Title
Licensed Professional Counselor
Phone
(972) 672-1757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 68931 TX Primary

Addresses

Primary practice location

17210 Campbell Rd
200
Dallas, TX 75252-4202

Mailing address

4101 Camino Dr
Plano, TX 75074-3470

National Provider Directory

National Provider Directory
Part of
Dean Beckloff PHD PA

Locations

17210 Campbell Rd
Ste 200
Dallas, TX 75252
Phone (972) 250-1700

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1972971786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CAMINO DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17210 CAMPBELL RD",
            "address_2": "200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524202",
            "telephone_number": "972-250-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLOFF PEDIATRIC BEHAVIORAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BECKLOFF PEDIATRIC BEHAVIORAL CENTER",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "SCHRODT",
        "authorized_official_first_name": "KATLIN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "972-672-1757",
        "authorized_official_credential": "M.ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "68931",
            "primary": true
        }
    ],
    "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 Sep 10, 2015; 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.