Provider Demographics
NPI:1194849752
Name:P S ROOS & ASSOCIATES INC
Entity type:Organization
Organization Name:P S ROOS & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:817-461-0200
Mailing Address - Street 1:4025 WOODLAND PARK BLVD
Mailing Address - Street 2:SUTE 290
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013
Mailing Address - Country:US
Mailing Address - Phone:817-461-0200
Mailing Address - Fax:817-460-9771
Practice Address - Street 1:4025 WOODLAND PARK BLVD
Practice Address - Street 2:SUTE 290
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013
Practice Address - Country:US
Practice Address - Phone:817-461-0200
Practice Address - Fax:817-460-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00FJ96Medicare ID - Type Unspecified