Organization Active NPI

Cornerstone Clinical Services, Inc.

  • Community/Behavioral Health Agency
  • Cleveland, TX
National Provider Identifier
1659623130
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CORNERSTONE CLINICAL SERVICES, INC.
Practice address
308 Belcher St
Cleveland, TX 77327-3630
Phone
(580) 445-5494
Fax
(888) 411-3004
NPI assigned
Oct 9, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CORNERSTONE CLINICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mr. Darrell Eugene Smith, M.ED
Title
Vice President
Phone
(580) 470-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TX Primary

Addresses

Primary practice location

308 Belcher St
Cleveland, TX 77327-3630

Mailing address

1408 W Elder Ave
Duncan, OK 73533-4022
Phone (580) 470-8898

Other names 1

  • Cornerstone of Texas Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Clinical Services Inc8 organizations share this tax ID, including this one
Part of
Cornerstone Clinical Services Inc

Other organizations with this tax ID 7

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

Locations

308 Belcher St
Cleveland, TX 77327
Phone (580) 445-5494

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1659623130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W ELDER AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334022",
            "telephone_number": "580-470-8898",
            "fax_number": "888-411-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BELCHER ST",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773273630",
            "telephone_number": "580-445-5494",
            "fax_number": "888-411-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CLINICAL SERVICES, INC.",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "580-470-8898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone of Texas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.