NPIMap

Organization Active NPI

Clydies Place

Doing business as Virginia Thurman

  • Community/Behavioral Health Agency
  • Pittsburg, TX
National Provider Identifier
1205448131
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLYDIES PLACE
Doing business as
Virginia Thurman
Practice address
424 Henderson St
Pittsburg, TX 75686-1118
Phone
(903) 855-0845
Fax
(903) 855-0746
NPI assigned
Aug 21, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Mrs. Virginia ThurmanNPI 1992802201
Title
Owner
Phone
(903) 855-0845

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

424 Henderson St
Pittsburg, TX 75686-1118

Mailing address

PO Box 596
Pittsburg, TX 75686-0596
Phone (903) 855-0845

Other names 1

  • Virginia Thurman Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vthurman@clydiesplace.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1205448131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756860596",
            "telephone_number": "903-855-0845",
            "fax_number": "903-855-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 HENDERSON ST",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861118",
            "telephone_number": "903-855-0845",
            "fax_number": "903-855-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDIES PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-855-0845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vthurman@clydiesplace.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "424 Henderson St",
            "city": "Pittsburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756861118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Virginia Thurman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.