Organization Active NPI

Amistad Therapy Center

Doing business as Dorothy W. Duncan

  • Voluntary or Charitable Agency
  • Del Rio, TX
National Provider Identifier
1891825386
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
10014 Issued in TX
Legal business name
AMISTAD THERAPY CENTER
Doing business as
Dorothy W. Duncan
Practice address
501 W Cantu Rd
Suite 400
Del Rio, TX 78840-3056
Phone
(830) 774-4447
Fax
(830) 774-4265
NPI assigned
Mar 6, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Ms. Dorothy W. Duncan, LPCNPI 1467560334
Title
Owner
Phone
(830) 774-4447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 10014 TX Primary

Addresses

Primary practice location

501 W Cantu Rd
Suite 400
Del Rio, TX 78840-3056

Mailing address

501 W Cantu Rd
Suite 400
Del Rio, TX 78840-3056
Phone (830) 774-4447

Other identifiers 1

IdentifierTypeStateIssuer
095504901MedicaidTX

Other names 1

  • Dorothy W. Duncan Doing business as

National Provider Directory

National Provider Directory

Locations

501 W Cantu Rd
Ste 400
Del Rio, TX 78840
Phone (830) 734-1237

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1891825386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W CANTU RD",
            "address_2": "SUITE 400",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403056",
            "telephone_number": "830-774-4447",
            "fax_number": "830-774-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W CANTU RD",
            "address_2": "SUITE 400",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403056",
            "telephone_number": "830-774-4447",
            "fax_number": "830-774-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-774-4447",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TX",
            "license": "10014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095504901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorothy W. Duncan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.