Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Waco Center For Youth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA JOHNSON (ACCOUNTANT III)
(512) 206-5284
Entity
Organization
Contact information
Practice address
3501 NORTH 19TH STREET, WACO, TX 76708-2007
(245) 756-2171
(254) 745-5367
Mailing address
PO BOX 149347, AUSTIN, TX 78714-9347
(512) 458-7111
(512) 458-7588
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
TX
103TC0700X
Clinical Psychologist
—
TX
183500000X
Pharmacist
—
TX
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
TX
208000000X
Pediatrics Physician
—
TX
2084F0202X
Forensic Psychiatry Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
2084P0804X
Child & Adolescent Psychiatry Physician
—
TX
208D00000X
General Practice Physician
—
TX
363A00000X
Physician Assistant
—
TX
363L00000X
Nurse Practitioner
—
TX
364S00000X
Clinical Nurse Specialist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099665-02
—
TX
05
—
1404444-16
—
TX
Enumeration date
08/15/2006
Last updated
08/25/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up