TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO (NPI# 1255365375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255365375 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO |
| Other Organization Name | TEXAS TECH UHSC PSYCHIATRY |
| Practice Address |
1400 Wallace Blvd Amarillo TX 79106-1708 |
| Mailing Address |
1400 Wallace Blvd Attn Credentialing Amarillo TX 79106 |
| Practice Telephone | 8064149970 |
| Practice Fax Number | 8063513783 |
| Mailing Telephone | 8064149566 |
| Mailing Fax Number | 8063564673 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | MRS. DENISE RUSSELL (UNIT MANAGER) |
| Authorized Official Telephone | 8064149566 |
| Authorized Official Credential | CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 084567901 | 05 | |
| NM | G4070 | 05 | |
| OK | 100759180B | 05 |
| Other Name | Type Code |
|---|---|
| Texas Tech UHSC Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679841134 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2011-12-12 |
| 1881885168 | Texas Tech University Health Sciences Center Amarillo | Obstetrics & Gynecology | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2007-08-05 |
| 1790838357 | Texas Tech University Health Sciences Center Amarillo | Physical Therapist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2007-01-18 |
| 1841201092 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-08-11 |
| 1043245178 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-11 |
| 1013942150 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-11 |
| 1033144175 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-11 |
| 1871525840 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-07 |
| 1386675940 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-05 |
| Street Address |
1400 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900028 | Michael D Jenkins | Psychiatry & Neurology | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2005-05-23 |
| 1083062731 | Texas Tech University Health Sciences Center | Clinic/Center | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2016-06-02 |
| 1376988378 | Amy Leigh Stark | Psychiatry & Neurology | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2013-05-03 |
| 1023280419 | Elizabeth Stiles Rogers | Nurse Practitioner | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2008-03-26 |
| 1770704793 | Dayna Edwards Schertler | Social Worker | 1400 Wallace Blvd, 106, Amarillo, TX 79106-1708 | 2007-05-01 |
| 1881744019 | Lynna Kay Hoyt-rogers | Counselor | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2007-01-11 |
| 1669488599 | Eileen Murphy | Social Worker | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2006-07-31 |
| 1346264538 | Univ Phys Amarillo Pedi Partners | Pediatrics | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2006-07-27 |
| 1801856216 | Dennis Paul Zoller | Family Medicine | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619099736 | R Paul Wirtz | Psychologist | Hyw 60 At Fm 2373, Amarillo, TX 79120-0020 | 2007-04-06 |
| 1962537035 | Edwin Wallace Basham Jr. | Psychologist | 3505 Olsen Blvd, Suite 224, Amarillo, TX 79109-3042 | 2007-02-22 |
| 1467468140 | Steven Craig Schneider | Psychologist | 8 Care Cir, Amarillo, TX 79124-2118 | 2006-08-01 |
| 1548211295 | Thomas Chester Johnson | Psychologist | 112 W 8th Ave, Suite 800, Amarillo, TX 79101-2399 | 2006-05-15 |
| 1508864398 | Anthony W Arden | Psychologist | 1705 S Polk St, Amarillo, TX 79102-3152 | 2005-07-14 |
| 1912400847 | Christopher Lee Adamczyk | Psychologist | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2018-03-16 |
| 1346546520 | Aimee Elisabeth Whittaker | Psychologist | 6010 W Amarillo Blvd, Mental Health Service-116a, Amarillo, TX 79106-1990 | 2011-02-04 |
| 1114114709 | Trisha Paulette Barcley | Psychologist | 6010 W Amarillo Blvd, Amarillo, TX 79106 | 2007-09-27 |
| 1366537839 | Michael C Pelfrey | Psychologist | 6141 W Amarillo Blvd, Amarillo, TX 79106-1901 | 2006-10-03 |
| 1548292618 | Ron Owens | Psychologist | 1400 Coulter, Amarillo, TX 79106 | 2006-07-07 |
| Find all providers in AMARILLO | ||||
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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.