PRIME BEHAVIORAL HEALTH, INC


Address: 400 N Main St, Suite 104, Grapevine, TX 76051-3300
Phone: 8177157373

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX MENTAL HEALTH 32052093625 01

Office Location

Street Address 400 N MAIN ST
SUITE 104
City GRAPEVINE
State TX
Zip Code 76051-3300

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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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1366080962 Eating Recovery Center of Texas, LLC Clinic/Center 5120 Legacy Dr, Plano, TX 75024 2019-12-13
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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
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Competitor

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City GRAPEVINE
Zip Code 76051

Improve Information

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Dataset Information

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.

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