NPIMap

Organization Active NPI

Brent Woodall Foundation for Exceptional Children

Doing business as Brent Woodall Foundation

  • Community/Behavioral Health Agency
  • Irving, TX
National Provider Identifier
1386879526
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRENT WOODALL FOUNDATION FOR EXCEPTIONAL CHILDREN
Doing business as
Brent Woodall Foundation
Practice address
7801 Mesquite Bend Dr Ste 105
Irving, TX 75063-6043
Phone
(972) 756-9170
Fax
(214) 614-4650
NPI assigned
May 18, 2009
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Mrs. Carley Michele Waltenburg, M.S.NPI 1023493970
Title
Director
Phone
(972) 756-9170

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

7801 Mesquite Bend Dr Ste 105
Irving, TX 75063-6043

Mailing address

7801 Mesquite Bend Dr Ste 105
Irving, TX 75063-6043
Phone (972) 756-9170

Other names 1

  • Brent Woodall Foundation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brent Woodall Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3021 Gateway Dr
Ste 295
Irving, TX 75063
Phone (469) 351-6136

7801 Mesquite Bend Dr
Ste 105
Irving, TX 75063
Phone (972) 672-6717

Practitioners & affiliated clinicians

Practitioners 11

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": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1386879526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 MESQUITE BEND DR STE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750636043",
            "telephone_number": "972-756-9170",
            "fax_number": "214-614-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 MESQUITE BEND DR STE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750636043",
            "telephone_number": "972-756-9170",
            "fax_number": "214-614-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT WOODALL FOUNDATION FOR EXCEPTIONAL CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "WALTENBURG",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-756-9170",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent Woodall Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.