WACO CENTER FOR YOUTH
NPI 1548273873
Clinical Neuropsychologist in Waco, TX
NPI Status: Active since August 15, 2006
Contact Information
3501 NORTH 19TH STREET
WACO, TX
ZIP 76708
Phone: (245) 756-2171
Fax: (254) 745-5367
- Organization
- Clinical Neuropsychologist
- CLIA Number: 45D0979021
- CLIA Cert. Type: Other
- CLIA Exp. Date: 07-25-2027
About WACO CENTER FOR YOUTH
This page provides the complete NPI Profile along with additional information for Waco Center For Youth, a provider established in Waco, Texas operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1548273873 assigned on August 2006. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Waco Center For Youth operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Waco Center For Youth. The authorized official of this NPI record is Mrs. Jana Johnson (Accountant Iii)
- NPI
- 1548273873
- Provider Legal Name
- HEALTH AND HUMAN SERVICES COMMISSION
- Other Organization Name
- WACO CENTER FOR YOUTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3501 NORTH 19TH STREET WACO, TX 76708
- Location Phone
- (245) 756-2171
- Location Fax
- (254) 745-5367
- Mailing Address
- PO BOX 149347 AUSTIN, TX 78714
- Mailing Phone
- (512) 458-7111
- Mailing Fax
- (254) 745-5367
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2006
- Last Update Date
- 08-25-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- TX
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | (TX) |
| 2 | 183500000X | Pharmacy Service Providers | Pharmacist | (TX) |
| 3 | 207QA0000X | Allopathic & Osteopathic Physicians | Family Medicine | (TX) |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (TX) |
| 5 | 2084F0202X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 6 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 7 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 8 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 9 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | (TX) |
| 10 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (TX) |
| 11 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (TX) |
| 12 | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | (TX) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00H27E | MEDICARE OSCAR/CERTIFICATION (06) | TX | |
| 1099665-02 | MEDICAID (05) | TX | |
| 1404444-16 | MEDICAID (05) | TX | |
| 00H27E | MEDICARE PIN (08) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0979021
- Facility Type
- Other
- Certificate Effective Date
- July 26, 2025
- Certificate Expiration Date
- July 25, 2027
- Laboratory Director
- LAKSHMI KAZA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Waco Center For Youth to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1548273873, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 77 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548273873, enumerated as an "organization" on August 15, 2006.
The provider is located at 3501 NORTH 19TH STREET WACO, TX 76708 and the phone number is (245) 756-2171.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
