AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER (NPI# 1053632505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053632505 |
| Entity Type | Organization |
| Organization Name | AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER |
| Other Organization Name | INTEGRAL CARE |
| Practice Address |
1165 Airport Blvd Austin TX 78702-3152 |
| Mailing Address |
Po Box 3548 Austin TX 78764-3548 |
| Practice Telephone | 5124724357 |
| Practice Fax Number | 5127031394 |
| Mailing Telephone | 5124414747 |
| Mailing Fax Number | 5124404081 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | CRAIG B. FRANKE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5124474141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 3022 | TX | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
166-A | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 212084201 | 05 |
| Other Name | Type Code |
|---|---|
| Integral Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1631 E 2nd St Ste A, Austin, TX 787024491 | 5124724357 | 5127031394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337259 | Austin Travis County Mental Health and Mental Retardation Center | Counselor | 1430 Collier St, Austin, TX 78704-2911 | 2006-05-26 |
| 1831393990 | Austin Travis County Mental Health and Mental Retardation Center | Nursing Care | 5225 N Lamar Blvd, Austin, TX 78751-1820 | 2007-06-13 |
| Street Address |
1165 AIRPORT BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558571489 | Joan Cook Chapmond | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2007-05-22 |
| 1174121594 | Jason Henderson | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-10-16 |
| 1588278667 | Magnolia Deloise Cavanaugh | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-09-04 |
| 1609401173 | Sidney Douglas | Social Worker | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-03-05 |
| 1861024937 | Samantha Josephine Montemayor | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-02-06 |
| 1477196012 | Jeremy Matthew Smiddy | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-10-27 |
| 1386291003 | Roberta Jean Randall | Licensed Vocational Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-08-19 |
| 1609422385 | Stephanie L Virata | Licensed Vocational Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-08-17 |
| 1992358154 | Trenton Ray Turner | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-07-17 |
| 1396304143 | Stephen Morocco | Nurse Practitioner | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
| Find all providers in zip 78702 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881683 | South Meadows Recovery, Inc. | Clinic/Center | 15505 Patrica St, Austin, TX 78728-3923 | 2020-04-29 |
| 1528574373 | The Timothy Center, Inc. | Clinic/Center | 7016 Ribelin Ranch Rd, Austin, TX 78750-8583 | 2017-12-15 |
| 1538675384 | The Timothy Center, Inc. | Clinic/Center | 4220 Monterey Oaks Blvd, Austin, TX 78749-1170 | 2017-12-15 |
| 1952779985 | Infinite Recovery LLC | Clinic/Center | 7517 Cameron Rd Ste 118, Austin, TX 78752-2053 | 2015-09-08 |
| 1720377591 | Austin Travis County Mhmr Center | Clinic/Center | 825 East Rundberg Lane, Unit F, Austin, TX 78753 | 2011-04-01 |
| 1659566404 | Austin Recovery, Inc. | Clinic/Center | 4201 S Congress Ave Ste 202, Austin, TX 78745 | 2007-09-13 |
| 1508992249 | Phoenix Houses of Texas, Inc. | Clinic/Center | 400 W Live Oak St, Austin, TX 78704-5119 | 2007-02-26 |
| 1073654737 | Esperanza Health Systems Ltd | Clinic/Center | 11110 Metric Blvd, Ste B, Austin, TX 78758 | 2007-02-08 |
| 1093335408 | Advocacy for Families In Recovery, Inc. | Clinic/Center | 111 W Anderson Ln Ste E328, Austin, TX 78752-1146 | 2020-04-26 |
| 1922408517 | Infinite Recovery, LLC | Clinic/Center | 7517 Cameron Rd, Ste 118, Austin, TX 78752-2057 | 2014-09-02 |
| Find all providers in AUSTIN | ||||
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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.