THE INSTITUTE FOR CLINICAL NEURSOCIENCE, PLLC (NPI# 1114330701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114330701 |
| Entity Type | Organization |
| Organization Name | THE INSTITUTE FOR CLINICAL NEURSOCIENCE, PLLC |
| Practice Address |
4425 W Airport Fwy Suite 250 Irving TX 75062-5832 |
| Mailing Address |
Po Box 25339 Colorado Springs CO 80936-5339 |
| Practice Telephone | 8173060215 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | MRS. DEE DOBBS (CREDENTILING) |
| Authorized Official Telephone | 8173060215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 209800000X | Legal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 21788 | 01 |
| CO | STATE LICENSE | 2998 | 01 |
| Street Address |
4425 W AIRPORT FWY SUITE 250 |
| City | IRVING |
| State | TX |
| Zip Code | 75062-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245275825 | Carol S Lieser | Nurse Practitioner | 4425 W Airport Fwy, Ste 244, Irving, TX 75062-5832 | 2006-06-18 |
| 1609340421 | Aletha R Mathis | Social Worker | 4425 W Airport Fwy, Ste 149, Irving, TX 75062-5850 | 2019-01-15 |
| 1972043669 | Carol Lieser Pmhnp Pllc | Nurse Practitioner | 4425 W Airport Fwy, Ste 244, Irving, TX 75062 | 2017-03-01 |
| 1447615695 | Patricia Gobin | Counselor | 4425 W Airport Fwy, Suite 400, Irving, TX 75062-5832 | 2015-12-15 |
| 1679948913 | Bair Foundation | Foster Care Agency | 4425 W Airport Fwy, Suite 400, Irving, TX 75062-5832 | 2015-12-12 |
| 1730427238 | Zaire Smith | Social Worker | 4425 W Airport Fwy, Irving, TX 75062-5832 | 2013-01-18 |
| 1962746883 | Ladonna Michelle Turner | Social Worker | 4425 W Airport Fwy, Ste 122, Irving, TX 75062-5817 | 2012-11-15 |
| 1174731517 | Corporate-industry Medical Group | Physical Medicine & Rehabilitation | 4425 W Airport Fwy, Suite 305, Irving, TX 75062-5832 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370184 | Professional Exam Services Inc. | Clinical Neuropsychologist | 2233 E Grauwyler Rd Ste 107, Irving, TX 75061-3239 | 2018-09-21 |
| 1841458254 | Cognitive Neuroscience Services | Clinical Neuropsychologist | 222 W Las Colinas Blvd, Suite 1650, Irving, TX 75039 | 2008-06-02 |
| 1497701916 | Richard S Cowles | Clinical Neuropsychologist | 222 Las Colinas Blvd W, Suite 1650, Irving, TX 75039-5421 | 2006-05-26 |
| 1235549650 | Renjan Roy Mathew | Clinical Neuropsychologist | 600 E John Carpenter Fwy, Ste 291, Irving, TX 75062 | 2014-05-07 |
| 1922448307 | Dallas Neurorehab Center, Pllc | Clinical Neuropsychologist | 320 Decker Dr, Suite 100, Irving, TX 75062-3937 | 2013-06-28 |
| 1003967993 | Gordon Chenoweth Sauer Jr. | Clinical Neuropsychologist | 3200 N Macarthur Blvd, Suite 101, Irving, TX 75062-4453 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375487 | Tara Austin | Clinical Neuropsychologist | 4900 Bagby Ave Apt 819, Waco, TX 76711-0035 | 2020-08-05 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1992330864 | Annelizabeth Robinson Carlew | Clinical Neuropsychologist | 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 | 2020-03-11 |
| 1710511753 | Gulf Coast Neuropsychology, Pllc | Clinical Neuropsychologist | 1110 Nasa Pkwy Ste 108c, Houston, TX 77058-3351 | 2020-02-28 |
| 1356988372 | Jennifer Reynolds | Clinical Neuropsychologist | 8005 Canyon Parke Ct, Austin, TX 78726-4029 | 2019-12-09 |
| 1649835216 | Kaleidoscope Counseling and Assessment | Clinical Neuropsychologist | 1705 S Capital of Texas Hwy Ste 130, Austin, TX 78746-6587 | 2019-05-08 |
| 1104392067 | Neuropsychological Services of Texarkana Pllc | Clinical Neuropsychologist | 5411 Plaza Dr Ste E, Texarkana, TX 75503-1667 | 2018-10-18 |
| 1255815072 | Seema Pandya | Clinical Neuropsychologist | 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 | 2018-09-18 |
| 1972097145 | Juliette Galindo | Clinical Neuropsychologist | 1333 Moursund Ave, Psychology/neuropsychology H124, Houston, TX 77030-3405 | 2018-06-20 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE INSTITUTE FOR CLINICAL NEURSOCIENCE, PLLC.
| 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.