NPIMap

Organization Active NPI

Permian Basin Community Centers for Mental Health & Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midland, TX
National Provider Identifier
1700976453
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PERMIAN BASIN COMMUNITY CENTERS FOR MENTAL HEALTH & MENTAL RETARDATION
Practice address
401 E Illinois Ave
Ste 200
Midland, TX 79701
Phone
(432) 570-3333
Fax
(432) 570-3346
NPI assigned
Oct 13, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Ramona Thomas, CPA
Title
Deputy Executive Director
Phone
(432) 570-3333

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 17

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

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 60

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040427000950 TX Part B Supplier - Clinic/Group Practice 8426955865 Receives reassigned benefits from 57 practitioners
2 other NPIs on this enrollment
Practice locations: Midland, TX; Odessa, TX; Presidio, TX; Van Horn, TX; Alpine, TX; Fort Stockton, TX

National Provider Directory

National Provider Directory
Tax ID family
Permian Basin Community Centers for MHMR (18 organizations share this tax ID)

Locations

805 N 5th St
Alpine, TX 79830
Phone (432) 837-3373

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 200
Midland, TX 79701
Phone (432) 570-3333

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

NPPES NPI Registry

Primary practice location

401 E Illinois Ave
Ste 200
Midland, TX 79701

Mailing address

401 E Illinois Ave
Ste 400
Midland, TX 79701
Phone (432) 570-3333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2011.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1700976453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ILLINOIS AVE",
            "address_2": "STE 400",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-570-3333",
            "fax_number": "432-570-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E ILLINOIS AVE",
            "address_2": "STE 200",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-570-3333",
            "fax_number": "432-570-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BASIN COMMUNITY CENTERS FOR MENTAL HEALTH & MENTAL RETARDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "432-570-3333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.