NORTH TEXAS NEUROREHABILITATION CENTER PA


Address: 4315 San Gabriel Dr, Dallas, TX 75229-4131
Phone: 2148427887

NORTH TEXAS NEUROREHABILITATION CENTER PA (NPI# 1225441355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225441355
Entity Type Organization
Organization Name NORTH TEXAS NEUROREHABILITATION CENTER PA
Practice Address 4315 San Gabriel Dr
Dallas
TX 75229-4131
Practice Telephone 2148427887
Mailing Telephone 2148427887
Enumeration Date 2014-06-05
Last Update Date 2014-06-05
Authorized Official Name DR. JOSHUA MYLES MASINO (PRESIDENT)
Authorized Official Telephone 2148427887
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 34716 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4315 SAN GABRIEL DR
City DALLAS
State TX
Zip Code 75229-4131

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992330864 Annelizabeth Robinson Carlew Clinical Neuropsychologist 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 2020-03-11
1255815072 Seema Pandya Clinical Neuropsychologist 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 2018-09-18
1194212712 Christian Lobue Clinical Neuropsychologist 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 2018-04-19
1235679283 David Denney Clinical Neuropsychologist 6303 Forest Park Road, Dallas, TX 75390-6373 2017-02-24
1487100517 Joan Mayfield Clinical Neuropsychologist 9735 Windham Dr, Dallas, TX 75243-2320 2016-08-29
1699026864 Andrea Hester, Phd, Pllc Clinical Neuropsychologist 12820 Hillcrest Rd Ste C-100, Dallas, TX 75230-1526 2012-09-27
1629223557 Carlos Daniel Marquez De La Plata Clinical Neuropsychologist 4101 Mcewen Rd Ste 318, Dallas, TX 75244-5257 2008-11-19
1013036912 Ronald George Paulman Clinical Neuropsychologist 9400 N. Central Expy., Suite 1212, Dallas, TX 75231-5032 2007-03-29
1346370442 Kris Weber Clinical Neuropsychologist 7557 Rambler Rd Ste 700, Dallas, TX 75231-2321 2007-03-07
1811063704 Glenn A Brown Clinical Neuropsychologist 6138 Berkshire Lane, Ste 16, Dallas, TX 75225 2006-11-24
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Competitor

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City DALLAS
Zip Code 75229

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Dataset Information

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.

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