Organization Active NPI

Add/ADHD Treatment Center LLC

  • Pediatrics Physician
  • Plano, TX
National Provider Identifier
1700191822
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C5934 Issued in TX
Legal business name
ADD/ADHD TREATMENT CENTER LLC
Practice address
1524 Independence Pkwy
Suite a-1
Plano, TX 75075-6406
Phone
(972) 943-0410
Fax
(972) 212-4270
NPI assigned
Aug 12, 2010
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Robert C Young, MD
Title
Manager
Phone
(972) 943-0410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C5934 TX
Pediatrics Physician 208000000X C5934 TX Primary

Addresses

Primary practice location

1524 Independence Pkwy
Suite a-1
Plano, TX 75075-6406

Mailing address

PO Box 940445
Plano, TX 75094-0445
Phone (972) 943-0410

Other identifiers 1

IdentifierTypeStateIssuer
1982607909OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1700191822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940445",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750940445",
            "telephone_number": "972-943-0410",
            "fax_number": "972-212-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 INDEPENDENCE PKWY",
            "address_2": "SUITE A-1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756406",
            "telephone_number": "972-943-0410",
            "fax_number": "972-212-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADD/ADHD TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-943-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "C5934",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "C5934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1982607909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.