1265528798 NPI number — THE HARRIS CENTER FOR MENTAL HEALTH AND IDD

Table of content: (NPI 1265528798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265528798 NPI number — THE HARRIS CENTER FOR MENTAL HEALTH AND IDD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265528798
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9401 SOUTHWEST FWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77074-1407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-970-7000
Provider Business Mailing Address Fax Number:
713-970-7246

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9401 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-1407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-970-7000
Provider Business Practice Location Address Fax Number:
713-970-7246
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHNEE
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
713-970-7000

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001007288 . This is a "STATE VENDOR ID# HCS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000781801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 001010312 . This is a "STATE VENDOR ID# TX HML" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000780701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000368801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000372101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000391002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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