NPIMap

Organization Active NPI

Managed Care Center for Addictive and Other Disorders Inc

  • Point of Service
  • Lubbock, TX
National Provider Identifier
1790043404
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
10889 Issued in TX
Legal business name
MANAGED CARE CENTER FOR ADDICTIVE AND OTHER DISORDERS INC
Practice address
1705 N FM 179
Lubbock, TX 79416-9441
Phone
(806) 797-8003
NPI assigned
May 1, 2012
Last updated
May 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Billy Don Huey, LCDC
Title
Counselor/ Program Director
Phone
(806) 797-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 10889 TX Primary

Addresses

Primary practice location

1705 N FM 179
Lubbock, TX 79416-9441

Mailing address

1715 26TH St
Lubbock, TX 79411-1524
Phone (806) 780-8300

Other identifiers 1

IdentifierTypeStateIssuer
065363601MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Managed Care Center for Addictive and Other Disorders Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1705 N FM 179
Lubbock, TX 79416
Phone (806) 797-8003

1715 26th St
Lubbock, TX 79411
Phone (806) 780-8300

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1790043404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 26TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794111524",
            "telephone_number": "806-780-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N FM 179",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794169441",
            "telephone_number": "806-797-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED CARE CENTER FOR ADDICTIVE AND OTHER DISORDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "COUNSELOR/  PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "806-797-8003",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "10889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065363601",
            "state": "TX"
        }
    ],
    "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 May 1, 2012; 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.