Organization Active NPI

Hope Center 4 Autism Fort Worth

Doing business as Hope Center for Autism Fort Worth

  • Behavior Analyst
  • Fort Worth, TX
National Provider Identifier
1629386156
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1063185 Issued in TX
Legal business name
HOPE CENTER 4 AUTISM FORT WORTH
Doing business as
Hope Center for Autism Fort Worth
Practice address
2751 Green Oaks Rd
Fort Worth, TX 76116-1706
Phone
(817) 560-1139
Fax
(817) 560-7039
NPI assigned
Sep 17, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Mrs. Susan Lanette Wood
Title
Director
Phone
(817) 560-1109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1063185 TX Primary

Addresses

Primary practice location

2751 Green Oaks Rd
Fort Worth, TX 76116-1706

Mailing address

2751 Green Oaks Rd
Fort Worth, TX 76116-1706
Phone (817) 560-1139

Other names 1

  • Hope Center for Autism Fort Worth Doing business as

National Provider Directory

National Provider Directory

Locations

2751 Green Oaks Rd
Fort Worth, TX 76116
Phone (817) 560-1139

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1629386156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161706",
            "telephone_number": "817-560-1139",
            "fax_number": "817-560-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 GREEN OAKS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161706",
            "telephone_number": "817-560-1139",
            "fax_number": "817-560-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CENTER 4 AUTISM FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-560-1109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1063185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Center for Autism Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.