Active NPI
Autism Central Therapy, PLLC.
- Speech-Language Pathologist
- China Spring, TX
National Provider Identifier
1265762041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18196
- Legal business name
- AUTISM CENTRAL THERAPY, PLLC.
- Practice address
- 143 Elco LN
China Spring, TX 76633-3080 - Phone
- (254) 722-5236
- Fax
- (254) 836-0690
- NPI assigned
- Dec 30, 2009
- Last updated
- Dec 30, 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
- Mrs. Patricia Ann Genarlsky, M.S. CCC-SLP, BCBA
- Title
- Owner
- Phone
- (254) 722-5236
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18196 | TX | Primary |
| Behavior Analyst | 103K00000X | 1-09-5269 | TX |
Addresses
Primary practice location
143 Elco LN
China Spring, TX 76633-3080
Mailing address
143 Elco LN
China Spring, TX 76633-3080
Phone (254) 722-5236
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1265762041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 ELCO LN",
"city": "CHINA SPRING",
"state": "TX",
"postal_code": "766333080",
"telephone_number": "254-722-5236",
"fax_number": "254-836-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 ELCO LN",
"city": "CHINA SPRING",
"state": "TX",
"postal_code": "766333080",
"telephone_number": "254-722-5236",
"fax_number": "254-836-0690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM CENTRAL THERAPY, PLLC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "GENARLSKY",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-722-5236",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. CCC-SLP, BCBA"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18196",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-09-5269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in China Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.