NPI age
20 years
Enumerated 2005-08-29
● Active Type 2 · Organization
Providence Health Services Of Waco
Providence Health Services Of Waco is 1 of 220 psychiatric hospital organizations in Texas.
Primary specialty
Psychiatric Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Richardson
Senior Vp, Cfo
Last NPPES update
2010-05-19
Source: monthly bulk 2026-05
How this organization compares
Across 220 active psychiatric hospital providers in Texas.
NPI age
20 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
301 Londonderry Dr
Waco, TX 767127915
Mailing address
Po Box 2589
Waco, TX 767022589
Authorized official
Karen A Richardson
Senior Vp, Cfo
📞 2547514172
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Nathalie Boulos, MD Psychiatry & Neurology NPI 1548714397
- Aurora Mignosa, M.D. Psychiatry & Neurology NPI 1417038175
- Roxann Samples, M.D. Internal Medicine NPI 1184796252
Specialties
-
Psychiatric Hospital PrimaryAn organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121831504 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
DePaul Center
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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