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HEALTH AND HUMAN SERVICES COMMISSION NPI 1548273873


NPI Information

NPI: 1548273873
Provider Name: HEALTH AND HUMAN SERVICES COMMISSION

Doing Business As: WACO CENTER FOR YOUTH

Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization

CLIA Number: 45D0979021

Address:
3501 NORTH 19TH STREET
WACO, TX
ZIP 76708
Phone: (245) 756-2171
Get Directions

HEALTH AND HUMAN SERVICES COMMISSION is a clinical neuropsychologist in Waco, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. HEALTH AND HUMAN SERVICES COMMISSION NPI is 1548273873. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Waco Center For Youth.

The provider's business location address is:

3501 NORTH 19TH STREET
WACO, TX
ZIP 76708-007
Phone: (245) 756-2171
Fax: (254) 745-5367

The provider's authorized official is Jana Johnson .
The authorized official title is Accountant Iii and has the following contact phone number (512) 206-5284.

The CLIA number assigned to this NPI record is 45D0979021 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/25/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalTEXASNo
2183500000XPharmacistTEXASNo
3207QA0000XFamily MedicineAdolescent MedicineTEXASNo
4208000000XPediatricsTEXASNo
52084F0202XPsychiatry & NeurologyForensic PsychiatryTEXASNo
62084N0400XPsychiatry & NeurologyNeurologyTEXASNo
72084P0800XPsychiatry & NeurologyPsychiatryTEXASNo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryTEXASNo
9208D00000XGeneral PracticeTEXASNo
10363A00000XPhysician AssistantTEXASNo
11363L00000XNurse PractitionerTEXASNo
12364S00000XClinical Nurse SpecialistTEXASNo
13103G00000XClinical NeuropsychologistTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100H27EMEDICARE OSCAR/CERTIFICATIONTEXAS
21099665-02MEDICAIDTEXAS
31404444-16MEDICAIDTEXAS
400H27EMEDICARE PIN

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: 5/5/2024

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.