NICOLE BEREOLOS, PHD, PLLC (NPI# 1184115313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184115313 |
| Entity Type | Organization |
| Organization Name | NICOLE BEREOLOS, PHD, PLLC |
| Practice Address |
9330 Lbj Fwy Ste 900 Dallas TX 75243-3443 |
| Mailing Address |
2033 W Mcdermott Dr, Ste 320 #184 Allen TX 75013-4675 |
| Practice Telephone | 9727687994 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | NICOLE BEREOLOS (OWNER) |
| Authorized Official Telephone | 9727687994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 3809908 | 01 | |
| MAGELLAN | 600766136 | 01 | |
| BCBS | 0012XH | 01 | |
| TX | 289346301 | 05 | |
| NPI | 1427341825 | 01 | |
| AETNA | 60054 | 01 |
| Street Address |
9330 LBJ FWY STE 900 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285043976 | Veras Home and Health Inc | Home Health | 9330 Lbj Fwy Ste 900, Dallas, TX 75243-3443 | 2014-08-06 |
| 1790306595 | Bright Touch Hospice Care LLC | Internal Medicine | 9330 Lbj Fwy Ste 900, Dallas, TX 75243-3443 | 2020-05-03 |
| 1366002768 | Elite Spine Assist, Pllc | Physician Assistant | 9330 Lbj Fwy Ste 900, Dallas, TX 75243-3443 | 2019-06-18 |
| 1972070084 | Texas Mental and Behavioral Health LLC | Case Management | 9330 Lbj Fwy Ste 900, Dallas, TX 75243-3443 | 2018-10-26 |
| 1639616147 | Ginnie Elizabeth Porembski | Counselor | 9330 Lbj Fwy Ste 900, Dallas, TX 75243-3443 | 2017-01-22 |
| 1902279557 | Crystal Lopez | Counselor | 9330 Lbj Fwy Ste 900, Dallas, TX 75243-3443 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
|---|---|---|---|---|
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| 1306483136 | Laura Oei | Psychologist | 17000 Dallas Pkwy Ste 219, Dallas, TX 75248-1943 | 2019-11-27 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1821550500 | Vanguard Center for Neurological Health | Psychologist | 4240 Sigma Rd, Dallas, TX 75244-4414 | 2019-04-02 |
| 1558831933 | Kipp Ryan Pietrantonio | Psychologist | 6363 Forest Park Rd, 7th Floor, Ste. 749, Dallas, TX 75390-9121 | 2018-11-28 |
| 1154896850 | Evan Bodine | Psychologist | 8140 Walnut Hill Ln Ste 440, Dallas, TX 75231-4328 | 2018-10-09 |
| 1235612284 | Kimberly Mccain | Psychologist | 17440 Dallas Pkwy Ste 132, Dallas, TX 75287-7367 | 2018-09-14 |
| 1528557477 | Frances E. Dawson | Psychologist | 2920 Mcfarlin Blvd, Dallas, TX 75205-1920 | 2018-05-07 |
| 1558866384 | Lindsy Magee | Psychologist | 8150 N Central Expy Ste M-1065, Dallas, TX 75206-1815 | 2018-03-25 |
| Find all providers in DALLAS | ||||
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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.