Organization
AUSTIN TRAVIS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER
Active
Other names
Integral Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIYAD B. NUWAYHID MD (CHIEF MEDICAL OFFICER)
(512) 447-4141
Entity
Organization
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 447-4141
(512) 440-4080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00P336
BLUE CROSS BLUE SHIELD TX
TX
01
—
017413801
ECI CM
TX
01
—
1335242-02
MH CM
TX
01
—
1335424-01
MR SC
TX
01
—
1335424-04
MH REHAB
TX
05
—
133542405
—
TX
Enumeration date
05/26/2006
Last updated
11/09/2022
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