NPIMap

Organization Active NPI

Anderson Cherokee Community Enrichment Services

  • Intellectual & Developmental Disabilities Psychologist
  • Jacksonville, TX
National Provider Identifier
1821092677
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
Practice address
913 N Jackson St
Jacksonville, TX 75766-3801
Phone
(903) 586-5507
Fax
(903) 586-4234
NPI assigned
Jun 9, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Allyn Lang
Title
Executive Director
Phone
(903) 586-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X TX Primary

Addresses

Primary practice location

913 N Jackson St
Jacksonville, TX 75766-3801

Mailing address

913 N Jackson St
Jacksonville, TX 75766-3801
Phone (903) 586-5507

Other names 1

  • ACCESS Other name

National Provider Directory

National Provider Directory
Tax ID family
Access15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

913 N Jackson St
Jacksonville, TX 75766
Phone (903) 586-5507

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821092677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663801",
            "telephone_number": "903-586-5507",
            "fax_number": "903-586-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663801",
            "telephone_number": "903-586-5507",
            "fax_number": "903-586-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ALLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-586-5507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.