NPIMap

Organization Active NPI

Autism Services Center

  • Intellectual Disabilities Intermediate Care Facility
  • Huntington, WV
National Provider Identifier
1972646800
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
35 Issued in WV
Legal business name
AUTISM SERVICES CENTER
Practice address
10 6TH Ave W
Huntington, WV 25701-0028
Phone
(304) 525-8014
Fax
(304) 525-8026
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Jimmie David Beirne, PH.D & BCBA-D
Title
Ceo
Phone
(304) 525-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 35 WV Primary

Addresses

Primary practice location

10 6TH Ave W
Huntington, WV 25701-0028

Mailing address

10 6TH Ave W
Huntington, WV 25701-0028
Phone (304) 525-8014

Other identifiers 1

IdentifierTypeStateIssuer
0023400003MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Autism Services Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 6th Ave W
Huntington, WV 25701
Phone (304) 525-8014

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1972646800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 6TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257010028",
            "telephone_number": "304-525-8014",
            "fax_number": "304-525-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 6TH AVE W",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257010028",
            "telephone_number": "304-525-8014",
            "fax_number": "304-525-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "BEIRNE",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-525-8014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D & BCBA-D"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WV",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023400003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.