NPIMap

Organization Active NPI

Child Study Clinic

  • Case Manager/Care Coordinator
  • Victoria, TX
National Provider Identifier
1396869780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CHILD STUDY CLINIC
Practice address
117 Medical Dr Ste 4
Victoria, TX 77904-3114
Phone
(361) 575-0681
Fax
(361) 575-0100
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Katie Serrano
Title
Clinic Coordinator I
Phone
(361) 575-0681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

117 Medical Dr Ste 4
Victoria, TX 77904-3114

Mailing address

117 Medical Dr Ste 4
Victoria, TX 77904-3114
Phone (361) 575-0681

Other names 1

  • S.T.A.R.S. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Child Study Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396869780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR STE 4",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-575-0681",
            "fax_number": "361-575-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL DR STE 4",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043114",
            "telephone_number": "361-575-0681",
            "fax_number": "361-575-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD STUDY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CLINIC COORDINATOR I",
        "authorized_official_telephone_number": "361-575-0681"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.T.A.R.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.