Active NPI
Vericare of Texas, P.a.
- Psychiatry Physician
- Galveston, TX
National Provider Identifier
1992718258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- VERICARE OF TEXAS, P.A.
- Practice address
- 3702 Cove View Blvd
Galveston, TX 77554-8013 - Phone
- (800) 257-8715
- Fax
- (800) 819-1655
- NPI assigned
- Aug 15, 2006
- Reactivated
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa King
- Title
- Director, Credentialing Enrollment
- Phone
- (800) 370-3651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TX | Primary |
Addresses
Primary practice location
3702 Cove View Blvd
Galveston, TX 77554-8013
Mailing address
55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone (800) 370-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG8005 | Other | TX | RAILROAD MEDICARE |
Other names 1
- VeriCare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499644800000",
"number": "1992718258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HATCHETTS HILL RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711534",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 COVE VIEW BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775548013",
"telephone_number": "800-257-8715",
"fax_number": "800-819-1655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERICARE OF TEXAS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2017-07-10",
"deactivation_date": "2007-04-11",
"reactivation_date": "2007-11-07",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "DIRECTOR, CREDENTIALING ENROLLMENT",
"authorized_official_telephone_number": "800-370-3651"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG8005",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VeriCare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.