OrganizationActive
360 Behavioral Health of Texas LLC
NPI 1720543895 · Community/Behavioral Health Agency · Tyler, TX
360 Behavioral Health of Texas LLC is a Community/Behavioral Health Agency organization in Tyler, TX (NPI 1720543895).
Provider details
- NPI number
- 1720543895
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Ca PC Midco, Inc
- Organization subpart
- Yes
- Authorized official
- Dennis Kogod, Executive Chairman/Ceo(949) 285-8969
Specialties & taxonomies
Agencies
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 E South Town Dr
Tyler, TX 75703-4747
Phone: (903) 630-7077
Street-level locationGet directions
Mailing address
16946 Sherman Way
Van Nuys, CA 91406-3613
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2019-02-04
Frequently asked questions
- What is 360 Behavioral Health of Texas LLC's NPI number?
- 360 Behavioral Health of Texas LLC's National Provider Identifier (NPI) is 1720543895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 360 Behavioral Health of Texas LLC?
- 360 Behavioral Health of Texas LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is 360 Behavioral Health of Texas LLC located?
- 360 Behavioral Health of Texas LLC's practice location on file with NPPES is 120 E South Town Dr, Tyler, TX 75703-4747.
- What is 360 Behavioral Health of Texas LLC's phone number?
- The practice phone number listed in the NPPES registry for 360 Behavioral Health of Texas LLC is (903) 630-7077.
- Who is the authorized official for 360 Behavioral Health of Texas LLC?
- The authorized official listed on 360 Behavioral Health of Texas LLC's NPPES record is Dennis Kogod, Executive Chairman/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 360 Behavioral Health of Texas LLC's NPI active?
- Yes — 360 Behavioral Health of Texas LLC's NPI (1720543895) is active in the NPPES registry as of the last update on 2019-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.