NPIMap

Organization Active NPI

Success on the Spectrum PPCC Inc

  • Behavior Analyst
  • Wichita Falls, TX
National Provider Identifier
1992470546
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SUCCESS ON THE SPECTRUM PPCC INC
Practice address
5816 Ashleyanne Cir Ste 400
Wichita Falls, TX 76310-1613
Phone
(940) 692-0165
NPI assigned
Aug 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Alice Hupp
Title
Manager
Phone
(940) 642-6715

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

5816 Ashleyanne Cir Ste 400
Wichita Falls, TX 76310-1613

Mailing address

4400 Call Field Rd
Wichita Falls, TX 76308-2446
Phone (940) 692-0165

National Provider Directory

National Provider Directory

Locations

5816 Ashleyanne Cir
Ste 400
Wichita Falls, TX 76310
Phone (940) 692-0165

4400 Call Field Rd
Wichita Falls, TX 76308

Practitioners & affiliated clinicians

Practitioners 6

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": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1992470546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 CALL FIELD RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082446",
            "telephone_number": "940-692-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 ASHLEYANNE CIR STE 400",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101613",
            "telephone_number": "940-692-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS ON THE SPECTRUM PPCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "HUPP",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-642-6715"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.