DR. JEAN-CLAUDE I WAKIM (NPI# 1114923562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923562 |
| Entity Type | Individual |
| Full Name | DR. JEAN-CLAUDE I WAKIM |
| Credential | PH.D. |
| Practice Address |
16200 N. Dallas Pkwy Ste 280 Dallas TX 75248-2684 |
| Mailing Address |
16200 N. Dallas Pkwy Ste 280 Dallas TN 75248-2684 |
| Practice Telephone | 9727682290 |
| Practice Fax Number | 9723357642 |
| Mailing Telephone | 9727682290 |
| Mailing Fax Number | 9723357642 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
25106 | TX | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
25106 | TX | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
25106 | TX | Behavioral Health & Social Service Providers |
| Street Address |
16200 N. DALLAS PKWY STE 280 |
| City | DALLAS |
| State | TX |
| Zip Code | 75248-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336398 | Rachel Carrithers | Registered Nurse | 7611 El Pendsador, Dallas, TX 75248 | 2020-04-28 |
| 1538621024 | Syreeta Williams | Specialist | 16690 Dallas Parkway, Suite 208, Dallas, TX 75248 | 2019-04-03 |
| 1225505928 | Bent Tree Counseling, Pllc | Marriage & Family Therapist | 16800 North Dallas Parkway, Suite 100, Dallas, TX 75248 | 2018-10-31 |
| 1649764598 | Annie Girson | Dentist | 16000 Preston Rd. Suite 310, Dallas, TX 75248 | 2018-06-14 |
| 1821503772 | Affordable Dentist Near Me Dallas Pllc. | Dentist | 14902 Preston Road. Suite 201, Dallas, TX 75248 | 2017-12-13 |
| 1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
| 1871023481 | Caroline Ford | Psychologist | 16150 Preston Road, Dallas, TX 75248 | 2017-06-15 |
| 1679940902 | North Texas Cin, Inc. | Clinic/Center | 15770 North Dallas Parkway, Suite 900, Dallas, TX 75248 | 2015-08-21 |
| 1508246240 | Arzu Shams | Counselor | 17103 Preston Rd Ste 230, Dallas, TX 75248 | 2015-06-08 |
| 1992182174 | Texas Dentistry for Kids Richardson, Pllc | Dentist | 7989 Beltline Rd Ste# 107, Dallas, TX 75248 | 2015-04-27 |
| Find all providers in zip 75248 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426974 | Tiffany Anthony | Psychologist | 16135 Preston Rd Ste 200, Dallas, TX 75248-8517 | 2015-05-15 |
| 1780897710 | Angela M. Kavas | Psychologist | 5445 La Sierra, Suite 209, Dallas, TX 75231-4139 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355028 | Pamela Cortez Washington | Psychologist | 2819 Caroline St, Houston, TX 77004-2713 | 2020-11-01 |
| 1902427545 | Nnaemeka Nwankwo | Psychologist | 4606 Fm 1960 Rd W, Suite #224, Houston, TX 77069-4617 | 2020-05-06 |
| 1871138776 | Ikechukwu C Chidomere | Psychologist | 16731 Beechnut St Apt 206, Houston, TX 77083-6642 | 2019-11-14 |
| 1821649419 | Ashley C Boylan | Psychologist | 3628 Killian St, Fort Worth, TX 76119-3554 | 2019-09-25 |
| 1942777602 | Happy-to-help Corporation, An LLC | Psychologist | 5609 Oak Grove Rd, Fort Worth, TX 76134-2326 | 2018-10-30 |
| 1720440332 | Traneka Jackaon | Psychologist | 3620 Ginger Ln, Pearland, TX 77581-5306 | 2016-03-23 |
| 1699158873 | Nedra Helane Francis | Psychologist | 23471 Fm 450 N, Ore City, TX 75683-7005 | 2015-07-07 |
| 1114332228 | Henry Dorsett | Psychologist | 3940 Solid Dr, Brownsville, TX 78521-4398 | 2014-06-26 |
| 1659712248 | Gems Life Skills | Psychologist | 6802 D S Bailey Ln, Houston, TX 77091-2030 | 2013-07-10 |
| 1992044267 | Alicia Carleen Snow | Psychologist | 823 Village Square Dr, Suite 5, Tomball, TX 77375-4431 | 2013-02-06 |
| Find all providers with the same taxonomy | ||||
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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.