NPIMap

Organization Active NPI

Texas Panhandle MHMR

  • Psychiatry Physician
  • Amarillo, TX
National Provider Identifier
1164538088
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TEXAS PANHANDLE MHMR
Practice address
901 Wallace Blvd BLDG 501
Amarillo, TX 79106-1705
Phone
(806) 351-3200
Fax
(806) 351-3344
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X TX
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X TX
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X TX Primary

Addresses

Primary practice location

901 Wallace Blvd BLDG 501
Amarillo, TX 79106-1705

Mailing address

901 Wallace Blvd BLDG 501
Amarillo, TX 79106-1705
Phone (806) 351-3200

Other identifiers 4

IdentifierTypeStateIssuer
00BF18OtherTXBLUE CROSS BLUE SHIELD
A001OtherTXCHAMPUS/CHAMPVA
CN4782OtherTXRAILROAD MEDICARE/UHC
Z000BF188OtherTXPRIVATE INSURANCE

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164538088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WALLACE BLVD BLDG 501",
            "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 BLDG 501",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061705",
            "telephone_number": "806-351-3200",
            "fax_number": "806-351-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PANHANDLE MHMR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-07-21",
        "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": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00BF18",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS/CHAMPVA",
            "identifier": "A001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/UHC",
            "identifier": "CN4782",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "Z000BF188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 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.