BRACKEN MENTAL HEALTH A PROFESSIONAL ASSOCIATION. NPI 1316160807

NPI Information

NPI: 1316160807
Provider Name: BRACKEN MENTAL HEALTH A PROFESSIONAL ASSOCIATION.

Doing Business As: BRACKEN PSYCHIATRIC SERVICES

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
3200 SOUTHERN DR
#107
GARLAND, TX
ZIP 75043
Phone: (972) 278-5385
Get Directions

BRACKEN MENTAL HEALTH A PROFESSIONAL ASSOCIATION. is a child and adolescent psychiatry psychiatry neurology in Garland, TX. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. BRACKEN MENTAL HEALTH A PROFESSIONAL ASSOCIATION. NPI is 1316160807. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bracken Psychiatric Services.

The provider's business location address is:

3200 SOUTHERN DR
#107
GARLAND, TX
ZIP 75043-549
Phone: (972) 278-5385
Fax: (972) 692-8687

The provider's authorized official is Jill W Bracken .
The authorized official title is Physician and has the following contact phone number (972) 278-5385.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 3/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	K6992	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113612904	MEDICAID	TEXAS
2	=========	OTHER	TEXAS	EIN
3	G83365	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »