UNIVERSITY OF NORTH TEXAS (NPI# 1770941924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770941924 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NORTH TEXAS |
| Practice Address |
855 Montgomery St Fort Worth TX 76107-2553 |
| Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
| Practice Telephone | 8177023636 |
| Practice Fax Number | 8077028439 |
| Mailing Telephone | 8177023636 |
| Mailing Fax Number | 8177028439 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-12 |
| Authorized Official Name | CAROLINE KEMUNTO MOSE (NURSE PRACTITIONER) |
| Authorized Official Telephone | 8174128521 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORTWORTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | AP129874 | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114273380 | University of North Texas | Occupational Therapist | 490 S Interstate 35 E, Denton, TX 76205-7768 | 2012-07-25 |
| 1346551959 | University of North Texas | Clinic/Center | 1800 Chestnut St, Denton, TX 76201 | 2010-06-29 |
| 1881638443 | University of North Texas | Family Medicine | 1706 W. Chestnut, Denton, TX 76203 | 2006-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF NORTH TEXAS | 1147 Union Cir Rm 105, Denton, TX 76203-0000 |
| System for Award Management (SAM) Entities | UNIVERSITY OF NORTH TEXAS AT DALLAS | 7300 University Hill Blvd, Dallas, TX 75241-4605 |
| System for Award Management (SAM) Entities | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2553 |
| Street Address |
855 MONTGOMERY ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194455 | Patricia Lowrimore | Psychiatry & Neurology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2005-06-20 |
| 1194353417 | Jason L Thompson | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-03-31 |
| 1639701808 | Tyrane Roberts-lagrone | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-02-06 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1598250607 | Sima Taj Mozdbar | Optometrist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-06-30 |
| 1588153993 | Kristen Reuter | Social Worker | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-05-02 |
| 1114431624 | Emily J. Clark | Counselor | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-11-20 |
| 1275073215 | Elizabeth Svyatoslavna Balyakina | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-23 |
| 1588103659 | Frederick Olen Barnum Iv | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| 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 |
| 1447672910 | Srp Behavioral Hospital of Fort Worth LLC | Psychiatric Hospital | 6200 Overton Ridge Blvd, Fort Worth, TX 76132-0000 | 2014-01-17 |
| 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 | 76107 |
Please comment or provide details below to improve the information on UNIVERSITY OF NORTH TEXAS.
| 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.