Provider Demographics
| NPI: | 1356800569 |
|---|---|
| Name: | BABYLON HEALTHCARE INC. |
| Entity type: | Organization |
| Organization Name: | BABYLON HEALTHCARE INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | LEGAL COUNSEL |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | STEPHEN |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | CHEN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 800-475-6168 |
| Mailing Address - Street 1: | 2500 BEE CAVES RD. |
| Mailing Address - Street 2: | BLDG. 1, STE. 400 |
| Mailing Address - City: | AUSTIN |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78746-5888 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 800-475-6168 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2500 BEE CAVES RD |
| Practice Address - Street 2: | BLDG 1 STE 400 |
| Practice Address - City: | AUSTIN |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78746-5888 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 800-475-6168 |
| Practice Address - Fax: | 855-943-1026 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-03-18 |
| Last Update Date: | 2022-04-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
| No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | Group - Multi-Specialty | |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | Group - Multi-Specialty | |
| No | 207QA0000X | Allopathic & Osteopathic Physicians | Family Medicine | Adolescent Medicine | Group - Multi-Specialty |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MO | 500088457 | Medicaid | |
| MO | 830077063 | Medicaid |
