Active NPI
Ccpcs
- Community/Behavioral Health Agency
- Waco, TX
National Provider Identifier
1164756565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2-5171
- Legal business name
- CCPCS
- Practice address
- 305 Londonderry Dr Ste 7
Waco, TX 76712-7906 - Phone
- (254) 776-7792
- Fax
- (254) 776-0577
- NPI assigned
- Oct 1, 2009
- Last updated
- Oct 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tamara Lynn Hodges
- Title
- Psychologist
- Phone
- (254) 776-7792
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2-5171 | TX | Primary |
Addresses
Primary practice location
305 Londonderry Dr Ste 7
Waco, TX 76712-7906
Mailing address
305 Londonderry Dr Ste 7
Waco, TX 76712-7906
Phone (254) 776-7792
National Provider Directory
National Provider DirectoryLocations
305 Londonderry Dr
Ste 7
Waco, TX 76712
Phone (254) 772-0822
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Waco, TX
- NPI 1134259476
-
- Professional Counselor
- Waco, TX
- NPI 1225184195
-
- Professional Counselor
- Waco, TX
- NPI 1417083262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1164756565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LONDONDERRY DR STE 7",
"city": "WACO",
"state": "TX",
"postal_code": "767127906",
"telephone_number": "254-776-7792",
"fax_number": "254-776-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LONDONDERRY DR STE 7",
"city": "WACO",
"state": "TX",
"postal_code": "767127906",
"telephone_number": "254-776-7792",
"fax_number": "254-776-0577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCPCS",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "254-776-7792",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "2-5171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
- Christina Susann Catlett, M.S.
- Stephanie Bui Catuogno, MSPAS, PA-C
- Melissa Woodard Caudle, CCC-SLP
- Tiffanie Caver
- Claudio Herman Caycedo, D.D.S.
- Sandra Leticia Celis-Reid, FNP
- Cen-Tex Surgical Assistant's, Inc. (Kariann Perry, RNFA)
- Cenikor Foundation (Care Counseling Services (Gholson))
- Cenikor Foundation (Care Counseling Midway)
- Cenikor Foundation (Care Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.