C.S. Patterson Training & Habilitation Center, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

L14219 Issued in TN

Legal business name

C.S. PATTERSON TRAINING & HABILITATION CENTER, INC.

Practice address

1284 US Highway 45 Byp N
Trenton, TN 38382-4005

Phone

(731) 855-2316

Fax

(731) 855-3608

NPI assigned

Aug 19, 2016

Organization subpart

No

Name

Mr. Harry Clinton Adcock

Title

Executive Director

Phone

(731) 855-2316

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2016.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1013462050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 US HIGHWAY 45 BYP N",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383824005",
            "telephone_number": "731-855-2316",
            "fax_number": "731-855-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 US HIGHWAY 45 BYP N",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383824005",
            "telephone_number": "731-855-2316",
            "fax_number": "731-855-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.S. PATTERSON TRAINING & HABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-855-2316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L14219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018339",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Robert Barnett, PHARMD
• Gary Clinton Buchanan, D.D.S.
• Karen Buehlman
• Jeanette Elaine Buntyn, CASE MANAGER
• Cassondra Burks, FNP
• Michael Campbell
• Charicem Ventures PLLC
• Christy H Cloud, ANP
• Brandon Alan Coffman, PTA
• Matthew Paul Coffman, LPN

• All providers in Trenton, TN
• Developmentally Disabled Services Day Training Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.