TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC


Address: 18th Street and Boston Avenue, Lubbock, TX 79409
Phone: 8067423737

TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC (NPI# 1205044740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205044740
Entity Type Organization
Organization Name TEXAS TECH UNIVERSITY PSYCHOLOGY CLINIC
Practice Address 18th Street and Boston Avenue
Lubbock
TX 79409
Mailing Address Po Box 42051
Lubbock
TX 79409-2051
Practice Telephone 8067423737
Practice Fax Number 8067423799
Mailing Telephone 8067423737
Mailing Fax Number 8067423799
Enumeration Date 2007-05-18
Last Update Date 2020-08-22
Authorized Official Name DR. STEPHEN WRIGHT COOK (CLINIC DIRECTOR)
Authorized Official Telephone 8067423737
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 23874 TX Behavioral Health & Social Service Providers
N 103T00000X Psychologist 23791 TX Behavioral Health & Social Service Providers
N 103T00000X Psychologist 32461 TX Behavioral Health & Social Service Providers
Y 103T00000X Psychologist 25048 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHIELD 0012KD 01
TX INTERFACE EAP 04238.4 01
TX COMP CARE FIRST CARE TEXAS0004 TEXAS 0011 01

Office Location

Street Address 18TH STREET AND BOSTON AVENUE
City LUBBOCK
State TX
Zip Code 79409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841828126 Luke Malone Student in an Organized Health Care Education/Training Program 2503 Mac Davis Lane, Lubbock, TX 79409 2020-03-31
1023563889 Austin P. Wade Psychologist 1003 Flint Ave, Lubbock, TX 79409 2016-08-23
1104221928 Amanda Dorsten Specialist/Technologist 6216 66th St, Lubbock, TX 79409 2014-10-23
1124420427 Chrystal Jansz Behavioral Analyst 2902 18th Street, Lubbock, TX 79409 2014-09-18
1578682175 Stephen Michael Pincock Specialist/Technologist 6th & Red Raider Ave., Atf Box 43021, Lubbock, TX 79409 2007-03-28
1871636738 Texas Tech Student Health Pharmacy Pharmacy 1003 Flint Ave., Lubbock, TX 79409 2007-02-14
1871996421 Jason C Cohen Behavioral Analyst 2902 18th Street, Lubbock, TX 79409 2014-09-26
1710389317 Texas Tech University Behavioral Analyst 2902 18th Street, Lubbock, TX 79409 2014-09-25
1215339452 Wesley H Dotson Behavioral Analyst 2902 18th Street, Lubbock, TX 79409 2014-09-18
1265643654 Sara Ann Smock Marriage & Family Therapist Applied and Professional Studies,broadway and Akron St., Rm 260, Human Sciences, Box 41162, Lubbock, TX 79409-1162 2007-05-25
Find all providers in zip 79409

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336786870 Bailey P Tackett Psychologist 2024 82nd St Unit 103, Lubbock, TX 79423-4343 2019-12-03
1992215503 Sharla Boyd, Ph.d., Pllc Psychologist 6824 Wayne Ave Ste 1, Lubbock, TX 79424-1649 2017-10-10
1760917371 Discovery Medical Network Telehealth, LLC Psychologist 2950 50th St, Lubbock, TX 79413-4326 2017-04-21
1558806729 Elizabeth Eliot Dennard Psychologist 5502 58th St Ste 600, Lubbock, TX 79414-2087 2016-12-27
1942679535 Shena Smith Psychologist 2034 82nd St Unit 103, Lubbock, TX 79423 2015-09-24
1316121320 Michael Daniel Gomez Psychologist 6610 Quaker Ave, Lubbock, TX 79413 2007-12-27
1699983098 Richard Scotten Wampler Psychologist Marriage and Family Therapy, Aps, Box 41162, Texas Tech University, Lubbock, TX 79409-1162 2007-05-18
1154465409 George Gary Walker Psychologist 5120 29th Dr Ste C, Lubbock, TX 79407-2612 2007-02-19
1013060946 Patrick David Randolph Psychologist 5147 69th St Ste D, Lubbock, TX 79424-1646 2007-01-22
1093869695 Stephen Cook Psychologist 18th & Boston, #111a, Lubbock, TX 79409-2051 2007-01-22
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79409

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Dataset Information

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.

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