PRIME BEHAVIORAL HEALTH, INC (NPI# 1548670672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548670672 |
Entity Type | Organization |
Organization Name | PRIME BEHAVIORAL HEALTH, INC |
Practice Address |
400 N Main St Suite 104 Grapevine TX 76051-3300 |
Practice Telephone | 8177157373 |
Mailing Telephone | 8177157373 |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-04-28 |
Authorized Official Name | DR. BRIAN REES (OWNER) |
Authorized Official Telephone | 8177157373 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
N9362 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MENTAL HEALTH | 32052093625 | 01 |
Street Address |
400 N MAIN ST SUITE 104 |
City | GRAPEVINE |
State | TX |
Zip Code | 76051-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558733287 | Peter A. Kahle | Psychologist | 400 N Main St, Suite 104, Grapevine, TX 76051-3300 | 2015-10-21 |
1891054961 | Marvin Boyd Shannon IIi | Counselor | 400 N Main St, Suite 104, Grapevine, TX 76051-3300 | 2012-05-10 |
1063671048 | Brian Christopher Rees | Counselor | 400 N Main St, Suite 104, Grapevine, TX 76051-3300 | 2008-06-05 |
1194746693 | Gail Ann Chester | Psychologist | 400 N Main St, Suite 104, Grapevine, TX 76051-3300 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
Find all providers in zip 76051 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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1942807250 | Chart Counseling Services Pllc | Clinic/Center | 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 | 2020-10-08 |
1114548831 | Integral Counseling and Wellness, LLC | Clinic/Center | 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 | 2020-05-05 |
1679100986 | Sarah Douglas Cox, Lcsw Pllc | Clinic/Center | 9922 Caleb Way, Missouri City, TX 77459-6472 | 2020-03-25 |
1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
1326681354 | Evolving Mind Solutions, LLC | Clinic/Center | 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 | 2019-10-22 |
1790335271 | Therathrive LLC | Clinic/Center | 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 | 2019-09-16 |
1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
1073175576 | Remuda Ranch Counseling Services | Clinic/Center | 10333 Remuda View Dr, San Antonio, TX 78254-1759 | 2019-07-03 |
1366008583 | Progressive Counseling Services | Clinic/Center | 5820 34th St Apt 271, Lubbock, TX 79407-3352 | 2019-05-13 |
Find all providers with the same taxonomy |
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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.