Autism Management Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AUTISM MANAGEMENT GROUP

Practice address

4552 Route 152
Lavalette, WV 25535-9609

Phone

(304) 521-4252

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Tyrone Duncan Phillips, MS

Title

Owner

Phone

(304) 617-4851

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1912280405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4552 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359609",
            "telephone_number": "304-521-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 ROUTE 152",
            "city": "LAVALETTE",
            "state": "WV",
            "postal_code": "255359609",
            "telephone_number": "304-521-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-617-4851",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lensie Adkins
• Molly Adkins
• Ladonna Bailey
• Connie Jean Belcher
• Cambrie Booth
• Crystal Brown, MSW
• Devon Buffington

• Community/Behavioral Health Agency in Lavalette, WV
• Providers in Lavalette, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.