NPIMap

Organization Active NPI

Autism Service Center

  • Developmental Disabilities Clinic/Center
  • Huntington, WV
National Provider Identifier
1780711291
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
35 Issued in WV
Legal business name
AUTISM SERVICE CENTER
Practice address
10 6TH Ave W
Huntington, WV 25701-0028
Phone
(304) 525-8014
Fax
(304) 525-8026
NPI assigned
Feb 28, 2007
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Jimmie David Beirne, PH.D & BCBA-D
Title
Ceo
Phone
(304) 525-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 35 WV Primary

Addresses

Primary practice location

10 6TH Ave W
Huntington, WV 25701-0028

Mailing address

10 6TH Ave W
Huntington, WV 25701-0028
Phone (304) 525-8014

Other identifiers 1

IdentifierTypeStateIssuer
0023400002MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Autism Services Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

110 B St
Saint Albans, WV 25177
Phone (304) 525-8014

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1780711291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 6TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257010028",
            "telephone_number": "304-525-8014",
            "fax_number": "304-525-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 6TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257010028",
            "telephone_number": "304-525-8014",
            "fax_number": "304-525-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "BEIRNE",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-525-8014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D & BCBA-D"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "WV",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023400002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

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