Provider Type Icon

AUTISTIC TREATMENT CENTER INC. NPI 1083765960


NPI Information

NPI: 1083765960
Provider Name: AUTISTIC TREATMENT CENTER, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 45D2237979

Address:
10503 METRIC DR
DALLAS, TX
ZIP 75243
Phone: (972) 644-2076
Get Directions

AUTISTIC TREATMENT CENTER, INC. is a clinical psychologist in Dallas, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. AUTISTIC TREATMENT CENTER, INC. NPI is 1083765960. The provider is registered as an organization entity type.

The provider's business location address is:

10503 METRIC DR
DALLAS, TX
ZIP 75243-514
Phone: (972) 644-2076
Fax: (972) 644-5650

The provider's authorized official is Anna Penn Hundley .
The authorized official title is Executive Director and has the following contact phone number (972) 644-2076.

The CLIA number assigned to this NPI record is 45D2237979 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 4/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.