NPIMap

Organization Active NPI

Autistic Treatment Center Inc

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1376876623
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
AUTISTIC TREATMENT CENTER INC
Practice address
16111 Nacogdoches Rd
San Antonio, TX 78247-1002
Phone
(210) 590-2107
Fax
(210) 590-3143
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Ivy Zwicker
Title
Operations Director
Phone
(210) 590-2107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

16111 Nacogdoches Rd
San Antonio, TX 78247-1002

Mailing address

16111 Nacogdoches Rd
San Antonio, TX 78247-1002
Phone (210) 590-2107

National Provider Directory

National Provider Directory
Tax ID family
Autism Treatment Center Rehabilitation Agency11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16111 Nacogdoches Rd
San Antonio, TX 78247
Phone (210) 590-2107

Practitioners & affiliated clinicians

Practitioners 2

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": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1376876623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471002",
            "telephone_number": "210-590-2107",
            "fax_number": "210-590-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471002",
            "telephone_number": "210-590-2107",
            "fax_number": "210-590-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISTIC TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "ZWICKER",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "210-590-2107"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.