NPIMap

Organization Active NPI

Texas Panhandle Mental Health Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Amarillo, TX
National Provider Identifier
1104206853
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION
Practice address
901 Wallace Blvd
Amarillo, TX 79106-1705
Phone
(806) 351-3200
Fax
(806) 351-3344
NPI assigned
Jun 8, 2015
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Mellisa Talley
Title
Executive Director
Phone
(806) 351-3206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

901 Wallace Blvd
Amarillo, TX 79106-1705

Mailing address

901 Wallace Blvd
Amarillo, TX 79106-1705
Phone (806) 351-3200

Other identifiers 1

IdentifierTypeStateIssuer
127378105MedicaidTX

Other names 1

  • Texas Panhandle Centers 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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1104206853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061705",
            "telephone_number": "806-351-3200",
            "fax_number": "806-351-3344"
        },
        {
            "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": "806-351-3200",
            "fax_number": "806-351-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "MELLISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-351-3206"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127378105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Panhandle Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Texas Panhandle Centers",
            "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 Sep 29, 2020; 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.