West Pines On Golden Pond
LBN: Gerald Rogers, M.A., M.S.W., Ph.D., P.A.
West Pines On Golden Pond is an health care organization with primary practice located at 7480 Golden Pond Pl Suite 400, Amarillo TX 79121-1962. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Gerald Rogers, M.A., M.S.W., Ph.D., P.A. can be contacted via phone (806) 354-9996, or through Rogers, Gerald W via phone (806) 354-9996.
Contact Information
Primary practice address
7480 Golden Pond Pl Suite 400
Amarillo TX 79121-1962
Phone: (806) 354-9996
Fax: (806) 354-9995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2622 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 00732 | Texas |
Profile Details
| NPI number | 1033444328 |
|---|---|
| LBN Legal business name | Gerald Rogers, M.A., M.S.W., Ph.D., P.A. |
| DBA Doing business as | West Pines On Golden Pond |
| Authorized official | Rogers, Gerald W LCSW, LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2009 |
| Last updated | Oct 5th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033444328 | NPPES |
| Texas | Other | 154282 | VALUE OPTIONS |
| Texas | MEDICAID | 064242301 | VALUE OPTIONS |
| Texas | Other | 122754101 | VALUE OPTIONS |
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