NPIMap

Organization Active NPI

Texas Panhandle MHMR

  • Developmentally Disabled Services Day Training Agency
  • Amarillo, TX
National Provider Identifier
1003031170
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
TEXAS PANHANDLE MHMR
Practice address
901 Wallace Blvd
Amarillo, TX 79106-1705
Phone
(806) 358-8974
Fax
(806) 359-0506
NPI assigned
Apr 16, 2007
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sarah Hernandez
Title
Reimbursement Officer 1
Phone
(806) 677-2109

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X TX
Developmentally Disabled Services Day Training Agency 251C00000X TX Primary
Developmental Disabilities Clinic/Center 261QD1600X NU

Addresses

Primary practice location

901 Wallace Blvd
Amarillo, TX 79106-1705

Mailing address

PO Box 3250
Amarillo, TX 79116-3250
Phone (806) 358-8974

Other identifiers 1

IdentifierTypeStateIssuer
017421101MedicaidTX

Other names 1

  • Early Childhood Intervention Other name

National Provider Directory

National Provider Directory
Tax ID family
Texas Panhandle Mental Health Mental Retardation13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1003031170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791163250",
            "telephone_number": "806-358-8974",
            "fax_number": "806-359-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061705",
            "telephone_number": "806-358-8974",
            "fax_number": "806-359-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PANHANDLE MHMR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "REIMBURSEMENT OFFICER 1",
        "authorized_official_telephone_number": "806-677-2109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017421101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early Childhood Intervention",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Early Childhood Intervention",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.