Organization Active NPI

Brenda Meeks, PH.D., P.a.

  • Clinical Psychologist
  • Amarillo, TX
National Provider Identifier
1912107756
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25791 Issued in TX
Legal business name
BRENDA MEEKS, PH.D., P.A.
Practice address
1216 S Georgia St
Amarillo, TX 79102-1310
Phone
(806) 342-3500
Fax
(806) 374-8832
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Brenda MeeksNPI 1619040680
Title
Psychologist
Phone
(806) 342-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 25791 TX Primary

Addresses

Primary practice location

1216 S Georgia St
Amarillo, TX 79102-1310

Mailing address

PO Box 3087
Amarillo, TX 79116-3087
Phone (806) 342-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000454 TX Part B Supplier - Clinic/Group Practice 0042393738 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

1216 S Georgia St
Amarillo, TX 79102
Phone (806) 342-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1912107756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791163087",
            "telephone_number": "806-342-3500",
            "fax_number": "806-374-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791021310",
            "telephone_number": "806-342-3500",
            "fax_number": "806-374-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA MEEKS, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "806-342-3500"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.