1972543833 NPI number — THE CHILDREN'S ASSESSMENT CENTER FOUNDATION

Table of content: (NPI 1972543833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972543833 NPI number — THE CHILDREN'S ASSESSMENT CENTER FOUNDATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CHILDREN'S ASSESSMENT CENTER FOUNDATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE CHILDREN'S ASSESSMENT CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972543833
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 BOLSOVER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-986-3300
Provider Business Mailing Address Fax Number:
713-986-3553

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 BOLSOVER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-986-3300
Provider Business Practice Location Address Fax Number:
713-986-3553
Provider Enumeration Date:
06/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RUNGE
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
713-986-3485

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  17862 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YM0800X , with the licence number: 18746 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 18911 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 11940 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 16863 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 31259 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 32425 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 24946 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 31778 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 26546 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 34824 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 29189 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 23018 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 22477 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X , with the licence number: L7434 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 040686003 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 171048501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 042323801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 152197301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 153993401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 040542501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 039998201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00U18M , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 171045101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 095737503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 177683301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 040247101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 151734401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 159606601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 171047701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 177067901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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