New Direction Functional Psychiatry Clinic 1

LBN: New Direction Functional Psychiatry
New Direction Functional Psychiatry Clinic 1 is an health care organization with primary practice located at 4103 S Main St Ste 120 , Stafford TX 77477-5305. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. New Direction Functional Psychiatry can be contacted via phone (724) 599-5901, or through Gatumu, Sarah via phone (724) 599-5901.

Contact Information

Primary practice address
4103 S Main St Ste 120 Stafford TX 77477-5305
Phone: (724) 599-5901
Fax: (877) 774-5688
Website:
Map and Directions
Authorized official contact:
Name: Gatumu, Sarah Doctor of Medicine (MD)
Phone: (724) 599-5901

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1689268500
LBN Legal business name New Direction Functional Psychiatry
DBA Doing business as New Direction Functional Psychiatry Clinic 1
Authorized official Gatumu, Sarah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2021
Last updated Jul 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689268500 NPPES
Pennsylvania MEDICAID 1750489845

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