Health and Human Services Commission
Organization Active NPI Clinical Neuropsychologist · Vernon, TX
NPI 1043314263 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1043314263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- Legal business name
- HEALTH AND HUMAN SERVICES COMMISSION
- Practice address
- 4730 College Drive
Vernon, TX 76384-4009 - Phone
- (940) 552-9901
- Fax
- (940) 553-2523
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Kristy Carr
- Title
- Associate Commissioner
- Phone
- (512) 814-6942
Other NPIs on the same Medicare enrollment 22
Practitioners 1
-
Rosa Linda Martinez, FAMILY NURSE PRACTI
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170908001058 | TX | Part B Supplier - Clinic/Group Practice | 2163795824 |
Receives reassigned benefits from 462 practitioners 22 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lubbock, TX; Mexia, TX; Pollock, TX; Richmond, TX; Rusk, TX; San Antonio, TX; Terrell, TX; Vernon, TX… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | Yes | ||
| Psychologist |
103T00000X | TX | ||
| Clinical Psychologist |
103TC0700X | TX | ||
| Forensic Psychologist |
103TF0200X | TX | ||
| Pharmacist |
183500000X | TX | ||
| Forensic Psychiatry Physician |
2084F0202X | TX | ||
| Psychiatry Physician |
2084P0800X | TX | ||
| Child & Adolescent Psychiatry Physician |
2084P0804X | TX | ||
| Geriatric Psychiatry Physician |
2084P0805X | TX | ||
| General Practice Physician |
208D00000X | TX | ||
| Physician Assistant |
363A00000X | TX | ||
| Nurse Practitioner |
363L00000X | TX | ||
| Clinical Nurse Specialist |
364S00000X | TX |
Addresses
Primary practice location
4730 College Drive
Vernon, TX 76384-4009
Mailing address
4110 Guadalupe St
MC-2023
Austin, TX 78751-4296
Phone (512) 206-5284
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4539219 | Other | TX | PHARMACY NCPDP NUMBER |
| HH4008 | Other | TX | BCBS FORENSIC |
| 1081036-01 | Medicaid | TX | |
| 1301640-07 | Medicaid | TX | |
| HH3011 | Other | TX | BCBS ADOLESCENT |
| 0211963-01 | Medicaid | TX | |
| 1081036-02 | Medicaid | TX |
Other names
- North Texas State Hospital/Vernon
Other providers in Vernon, TX
- Guardian Health Systems Vernon
- Tallea Haning
- Kay Hardage
- Harrold Independent School District
- Hayley Eye Clinic PC
- Health and Human Services Commission
- Health and Human Services Commission
- Helen Farabee Regional Centers
- Sarah Sullivan Hernandez
- Hillcrest Imaging Center LLC
All providers in Vernon, TX · Clinical Neuropsychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.