Central Plains Center for Mental Health Mental Retardation & Sa
Organization Active NPI Clinic/Center · Plainview, TX
NPI 1861589772 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1861589772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CENTRAL PLAINS CENTER FOR MENTAL HEALTH MENTAL RETARDATION & SA
- Practice address
- 715 Houston St
Plainview, TX 79072-7905 - Phone
- (806) 291-4470
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Sherri Bohr
- Title
- Ceo
- Phone
- (806) 293-2636
Practitioners 5
-
Ashley Tia McElroy, LPC
-
Chanda Wilhite, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050909000820 | TX | Part B Supplier - Clinic/Group Practice | 0941232979 |
Receives reassigned benefits from 5 practitioners Practice locations: Plainview, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
715 Houston St
Plainview, TX 79072-7905
Mailing address
2700 Yonkers
Plainview, TX 79072
Phone (806) 293-2636
Other practice location 1
2700 Yonkers
Plainview, TX 79072
Phone (806) 293-2636
Other providers in Plainview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.