PERMIAN BASIN COMMUNITY CENTER FOR MHMR (NPI# 1518342955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518342955 |
Entity Type | Organization |
Organization Name | PERMIAN BASIN COMMUNITY CENTER FOR MHMR |
Practice Address |
401 E Illinois Ave Suite 401 Midland TX 79701-4803 |
Practice Telephone | 4325703333 |
Practice Fax Number | 4325703346 |
Mailing Telephone | 4325703333 |
Mailing Fax Number | 4325703346 |
Enumeration Date | 2015-07-28 |
Last Update Date | 2015-07-28 |
Authorized Official Name | RAMONA THOMAS (C.E.O.) |
Authorized Official Telephone | 4325703333 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
Street Address |
401 E ILLINOIS AVE SUITE 401 |
City | MIDLAND |
State | TX |
Zip Code | 79701-4803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477560068 | Permian Basin Community Centers for Mhmr | Clinic/Center | 401 E Illinois Ave, Ste 400, Midland, TX 79701 | 2006-08-03 |
1063049724 | Michael David Mendoza | Physical Therapist | 401 E Illinois Ave, Midland, TX 79701-4803 | 2020-03-24 |
1306488457 | Abbie Jordan Elphick | Speech-Language Pathologist | 401 E Illinois Ave, Midland, TX 79701-4803 | 2019-10-10 |
1043713274 | Stephanie Test | Occupational Therapist | 401 E Illinois Ave, Midland, TX 79701-4803 | 2018-03-14 |
1396142931 | Midland Community Healthcare Services | Family Medicine | 401 E Illinois Ave, Midland, TX 79701-4803 | 2014-11-25 |
1679981971 | Natalie Dewitt | Counselor | 401 E Illinois Ave, Suite 100, Midland, TX 79701-4803 | 2014-07-30 |
1598109746 | Leah Nadine Vernia-amend | Counselor | 401 E Illinois Ave, Ste 400, Midland, TX 79701-4803 | 2013-04-18 |
1609119395 | Candace D Mahaffey | Counselor | 401 E Illinois Ave, Midland, TX 79701-4803 | 2013-04-01 |
1003124926 | Paul James Brazinskas | Counselor | 401 E Illinois Ave, Midland, TX 79701-4803 | 2010-09-14 |
1700193059 | Shirley Kaye Arkadie | Counselor | 401 E Illinois Ave, Midland, TX 79701-4803 | 2010-09-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
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Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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1679100986 | Sarah Douglas Cox, Lcsw Pllc | Clinic/Center | 9922 Caleb Way, Missouri City, TX 77459-6472 | 2020-03-25 |
1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
1326681354 | Evolving Mind Solutions, LLC | Clinic/Center | 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 | 2019-10-22 |
1790335271 | Therathrive LLC | Clinic/Center | 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 | 2019-09-16 |
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1366008583 | Progressive Counseling Services | Clinic/Center | 5820 34th St Apt 271, Lubbock, TX 79407-3352 | 2019-05-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.