Institute of Cogntive Development, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251S00000X Issued in TX

Legal business name

INSTITUTE OF COGNTIVE DEVELOPMENT, INC.

Practice address

79 Gillis St
San Angelo, TX 76903-5819

Phone

(325) 658-8631

Fax

(325) 659-2070

NPI assigned

Feb 8, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Waters

Title

Business Manager

Phone

(325) 658-8631

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Mary J. Bailey-Rutledge, MS, LPC

  • Professional Counselor
  • San Angelo, TX
  • NPI 1598026817
  NPD (past)
• Peter P. Chang, MD

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1780688028
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760522411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5018",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769025018",
            "telephone_number": "325-658-8631",
            "fax_number": "325-659-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 GILLIS ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035819",
            "telephone_number": "325-658-8631",
            "fax_number": "325-659-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF COGNTIVE DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "325-658-8631",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "320600000X",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477309-01",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.