Department of Veterans Affairs

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

36579 Issued in TX

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

2201 SE Loop 820
Fort Worth, TX 76119-5863

Phone

(817) 730-0145

Fax

(817) 730-0606

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Miss Janice M Sklar

Title

LCSW

Phone

(817) 730-0145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1982045332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195863",
            "telephone_number": "817-730-0145",
            "fax_number": "817-730-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SE LOOP 820",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761195863",
            "telephone_number": "817-730-0145",
            "fax_number": "817-730-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "SKLAR",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "817-730-0145",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "36579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.