NPIMap

Organization Active NPI

Lubbock Regional Mental Health Mental Retardation

  • Community/Behavioral Health Agency
  • Lubbock, TX
National Provider Identifier
1760693402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION
Practice address
3801 Avenue J
Lubbock, TX 79412-2017
Phone
(806) 766-0375
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Pavlik
Title
Dads Director
Phone
(806) 766-0375

Specialties & licenses 1

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

Addresses

Primary practice location

3801 Avenue J
Lubbock, TX 79412-2017

Mailing address

3801 Avenue J
Lubbock, TX 79412-2017
Phone (806) 766-0375

National Provider Directory

National Provider Directory
Tax ID family
Lubbock Regional Mental Health Mental Retardation11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760693402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 AVENUE J",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122017",
            "telephone_number": "806-766-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 AVENUE J",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122017",
            "telephone_number": "806-766-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAVLIK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DADS DIRECTOR",
        "authorized_official_telephone_number": "806-766-0375"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.