NPIMap

Organization Active NPI

Austin Child Guidance Center

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1912054776
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUSTIN CHILD GUIDANCE CENTER
Practice address
810 W 45TH St
Austin, TX 78751-2802
Phone
(512) 451-2242
Fax
(512) 454-9204
NPI assigned
Jan 4, 2007
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Mrs. Susanne Matthews
Title
Admin. Director
Phone
(512) 451-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

810 W 45TH St
Austin, TX 78751-2802

Mailing address

810 W 45TH St
Austin, TX 78751-2802
Phone (512) 451-2242

Other identifiers 1

IdentifierTypeStateIssuer
01043JCOtherTXBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

Locations

810 W 45th St
Austin, TX 78751
Phone (512) 451-2242

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1912054776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512802",
            "telephone_number": "512-451-2242",
            "fax_number": "512-454-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512802",
            "telephone_number": "512-451-2242",
            "fax_number": "512-454-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CHILD GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "ADMIN. DIRECTOR",
        "authorized_official_telephone_number": "512-451-2242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "01043JC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.