Active NPI
Child Study Clinic
- Developmental - Behavioral Pediatrics Physician
- Victoria, TX
National Provider Identifier
1467576041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- G6459
- Legal business name
- CHILD STUDY CLINIC
- Practice address
- 4208 Retama Cir
Victoria, TX 77901-2765 - Phone
- (361) 575-0681
- Fax
- (361) 575-0100
- NPI assigned
- Mar 19, 2007
- 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
- Amy Zeplin
- Title
- Program Coordinator
- Phone
- (361) 575-0681
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 618622 | TX | |
| Case Management Registered Nurse | 163WC0400X | 649214 | TX | |
| Case Manager/Care Coordinator | 171M00000X | G6459 | TX | |
| Health Educator | 174H00000X | G6459 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G6459 | TX | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | G6459 | TX | Primary |
Addresses
Primary practice location
4208 Retama Cir
Victoria, TX 77901-2765
Mailing address
PO Box 5140
Victoria, TX 77903-5140
Phone (361) 575-0681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126856702 | Medicaid | TX |
Other names 1
- S.T.A.R.S.
National Provider Directory
National Provider Directory- Tax ID family
- Child Study Clinic
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Victoria, TX
- NPI 1134384068
-
- Case Manager/Care Coordinator
- Victoria, TX
- NPI 1396869780
-
- Specialist
- Victoria, TX
- NPI 1871740860
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": "1755734400000",
"number": "1467576041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5140",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779035140",
"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": "4208 RETAMA CIR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779012765",
"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": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "ZEPLIN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PROGRAM COORDINATOR",
"authorized_official_telephone_number": "361-575-0681"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "618622",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "649214",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "G6459",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": "TX",
"license": "G6459",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "G6459",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "G6459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126856702",
"state": "TX"
}
],
"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 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.