SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC (NPI# 1447672910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447672910 |
| Entity Type | Organization |
| Organization Name | SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC |
| Other Organization Name | WELLBRIDGE HEALTHCARE OF FORT WORTH |
| Practice Address |
6200 Overton Ridge Blvd Fort Worth TX 76132-0000 |
| Mailing Address |
8343 Douglas Ave Ste 350 Dallas TX 75225-5887 |
| Practice Telephone | 8173611991 |
| Practice Fax Number | 8173611993 |
| Mailing Telephone | 8173611991 |
| Mailing Fax Number | 8173611993 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | BARBARA SHOUSE (DELEGATED/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5026802115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 100246 | TX | Hospitals |
| Other Name | Type Code |
|---|---|
| WellBridge Healthcare of Fort Worth | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4750 Bryant Irvin Rd Ste 901, Fort Worth, TX 761323612 | 8173611991 |
| Street Address |
6200 OVERTON RIDGE BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013265677 | Syed Muhammad Ali Imran Bukhari | Psychiatry & Neurology | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2012-08-29 |
| 1285258640 | Kindred Bh Acquisition 2, LLC | Psychiatric Hospital | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2020-06-02 |
| 1922653393 | Ebony Skinner | Counselor | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2019-08-02 |
| 1699329128 | Zaquia Shenaethia Mackey | Physician Assistant | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2019-08-01 |
| 1629531314 | Christopher Garcia Vindua | Nurse Practitioner | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2019-04-09 |
| 1356815724 | Hunter Logan Lewis | Family Medicine | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2019-01-18 |
| 1396211611 | Bukhari Psychiatric Services | Psychiatry & Neurology | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2018-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366880627 | Mesa Springs, LLC | Psychiatric Hospital | 5560 Mesa Springs Drive, Fort Worth, TX 76123 | 2013-06-10 |
| 1285258640 | Kindred Bh Acquisition 2, LLC | Psychiatric Hospital | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-3614 | 2020-06-02 |
| 1770941924 | University of North Texas | Psychiatric Hospital | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2016-02-03 |
| 1760642177 | John Peter Smith Hospital | Psychiatric Hospital | 1500 S Main St, Fort Worth, TX 76104-4917 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1033744743 | Medical Behavioral Hospital of Clear Lake, LLC | Psychiatric Hospital | 16850 Buccaneer Ln, Houston, TX 77058-2507 | 2020-03-03 |
| 1366080525 | Oceans Behavioral Hospital of Amarillo, LLC | Psychiatric Hospital | 7501 Wallace Blvd Ste 200, Amarillo, TX 79124-2150 | 2019-12-18 |
| 1922642040 | Carrus Behavioral Hospital LLC | Psychiatric Hospital | 1724 W Us Highway 82 Ste 200, Sherman, TX 75092-7037 | 2019-10-31 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1346805520 | Perimeter Behavioral Hospital of Arlington, LLC | Psychiatric Hospital | 7000 U.S. 287 Frontage Road, Arlington, TX 76001-7600 | 2019-05-03 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1548757446 | Thomas-pullen Instution of Hope, LLC | Psychiatric Hospital | 212 Burberry, Grand Prairie, TX 75052-0033 | 2018-04-16 |
| 1740791748 | Woodland Springs, LLC | Psychiatric Hospital | 15860 Old Conroe Rd, Conroe, TX 77384-3485 | 2017-10-17 |
| 1134677552 | Texas Health Springwood Behavioral Health Hospital | Psychiatric Hospital | 2717 Tibbets Dr, Bedford, TX 76022-6914 | 2016-09-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
Please comment or provide details below to improve the information on SRP BEHAVIORAL HOSPITAL OF FORT WORTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.