EARLY CHILDHOOD INTERVENTION (TEXAS PANHANDLE MHMR) NPI 1003031170

Day Training, Developmentally Disabled Services in Amarillo, TX

NPI 1003031170 Organization Day Training, Developmentally Disabled S...

About EARLY CHILDHOOD INTERVENTION (TEXAS PANHANDLE MHMR)

Early Childhood Intervention (texas Panhandle Mhmr) is a provider established in Amarillo, Texas specializing in day training, developmentally disabled services. The NPI number of Early Childhood Intervention (texas Panhandle Mhmr) is 1003031170 and was assigned on April 2007. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Early Childhood Intervention. The authorized official of this NPI record is Mrs. Sarah Hernandez (Reimbursement Officer 1)

NPI

1003031170

Provider NameEARLY CHILDHOOD INTERVENTION (TEXAS PANHANDLE MHMR)
Provider Location Address901 WALLACE BLVD AMARILLO, TX 79106
Provider Mailing AddressPO BOX 3250 AMARILLO, TX 79116
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameEARLY CHILDHOOD INTERVENTION
Other Name TypeOther Name (5)
Enumeration Date04-16-2007
Last Update Date01-04-2016


Primary Taxonomy

Taxonomy Code251C00000X
ClassificationDay Training, Developmentally Disabled Services
TypeAgencies
License StateTX
Taxonomy DescriptionThese agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

EARLY CHILDHOOD INTERVENTION
901 WALLACE BLVD
AMARILLO, TX
ZIP 79106
Phone: (806) 358-8974
Fax: (806) 359-0506

Get Directions


Mailing Address

EARLY CHILDHOOD INTERVENTION
PO BOX 3250
AMARILLO, TX
ZIP 79116
Phone: (806) 358-8974
Fax: (806) 359-0506



Authorized Official

Authorized Official NameMRS. SARAH HERNANDEZ
Authorized Official TitleREIMBURSEMENT OFFICER 1
Authorized Official Phone(806) 677-2109

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1251B00000XAgenciesCase ManagementTXNo

Taxonomy Description: an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
017421101MEDICAID (05)TX

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912900119 LYNDA CHERRYHOMES LPC
Individual
Counselor (Professional)901 WALLACE BLVD BLDG 501
AMARILLO, TX 79106
(806) 351-3212
1295738474 ANNA ISOM LPC
Individual
Counselor (Professional)901 WALLACE BLVD BLDG 501
AMARILLO, TX 79106
(806) 351-3348
1578566642 STANLEY JAMES SWINGLE II LCSW
Individual
Marriage & Family Therapist901 WALLACE BLVD BLDG 501
AMARILLO, TX 79106
(806) 349-5621
1184627960 JAMES VINCENT AVENI JR. LCSW
Individual
Social Worker (Clinical)901 WALLACE BLVD BLDG 501
AMARILLO, TX 79106
(806) 874-3504
1609876457 ELIZABETH MOORE LPC
Individual
Counselor (Professional)901 WALLACE BLVD BLDG. 501
AMARILLO, TX 79106
(806) 349-5646
1114900941 DAVID ALEXANDER M.ED., L.P.C.
Individual
Counselor (Professional)901 WALLACE BLVD BLDG. 501
AMARILLO, TX 79106
(806) 349-5653
1801879549 KEIKO SHINZATO LPC
Individual
Counselor (Professional)901 WALLACE BLVD BUILDING 501
AMARILLO, TX 79106
(806) 349-5670
1790745453 KEITH D MOREHOUSE LCSW
Individual
Social Worker (Clinical)901 WALLACE BLVD BUILDING 501
AMARILLO, TX 79106
(806) 351-3200
1154360949 CHAD BEAVERS LPC
Individual
Counselor (Professional)901 WALLACE BLVD
AMARILLO, TX 79106
(806) 364-6111
1699895987MRS. VERONICA GABRIELA MELESIO-SERRAO LPC
Individual
Counselor (Professional)901 WALLACE BLVD
AMARILLO, TX 79106
(806) 341-7378
1790979425 BILLY HEINSOHN LPC
Individual
Counselor (Professional)901 WALLACE BLVD BLDG 501
AMARILLO, TX 79106
(806) 378-3837
1750550125 BARBARA G LONDON LPC
Individual
Counselor (Professional)901 WALLACE BLVD BLDG. 501
AMARILLO, TX 79106
(806) 359-5647
1538281456 ELVA SIBURT DEVERS LPC
Individual
Counselor (Professional)901 WALLACE BLVD
AMARILLO, TX 79106
(806) 358-1681
1770641433MRS. NATALIE LYNN HENNING M.A., L.P.C.
Individual
Counselor (Professional)901 WALLACE BLVD
AMARILLO, TX 79106
(806) 676-5267
1306195623 ANNA BARRAZA-DERDA
Individual
Speech-Language Pathologist901 WALLACE BLVD
AMARILLO, TX 79106
(806) 677-2126
1912454133 SYDNEY KIDWELL
Individual
Speech-Language Pathologist901 WALLACE BLVD
AMARILLO, TX 79106
(918) 964-1145
1821512989 DORIS ELENA IRONFIELD M.S. SLP INTERN
Individual
Speech-Language Pathologist901 WALLACE BLVD
AMARILLO, TX 79106
(806) 358-1681
1447774310 JORDAN MICHELLE CRAIG PT, DPT
Individual
Physical Therapist901 WALLACE BLVD
AMARILLO, TX 79106
(806) 677-2114
1285101907 HALZIE WINGO M.S. CCC-SLP
Individual
Speech-Language Pathologist901 WALLACE BLVD
AMARILLO, TX 79106
(806) 358-8974
1265076558 JENNIFER MCKAY LPC
Individual
Counselor (Professional)901 WALLACE BLVD
AMARILLO, TX 79106
(806) 351-3227

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.