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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 34716 | TX | Behavioral Health & Social Service Providers |
Street Address |
4315 SAN GABRIEL DR |
City | DALLAS |
State | TX |
Zip Code | 75229-4131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104454602 | Obioma Anyogu | Nurse Practitioner | 1521 East Royal Lane, Apt 3208, Farmersbrabch, TX 75229 | 2020-03-30 |
1700399003 | Margaret F Wangsgaard | Dietitian, Registered | 3262 Dothan Ln, Dallas, TX 75229 | 2017-11-08 |
1710333075 | Egma LLC | Eyewear Supplier (Equipment, not the service) | 11234 Goodnight Lane, Dallas, TX 75229 | 2016-05-05 |
1770955924 | Sarah Loucks | Occupational Therapist | 3265 Dartmoor Ct, Dallas, TX 75229 | 2015-10-28 |
1750711222 | Maureen Elizabeth Veysset | Nurse Practitioner | 3207 Rotan Ln, Dallas, TX 75229 | 2013-11-20 |
1811248826 | Virginia F. Velez | Counselor | 2636 Walnut Hill Ln., Suite #330, Dallas, TX 75229 | 2012-10-01 |
1306128210 | Marshal Neil Decker | Technician, Other | 11034 Shady Trail, Suite 112, Dallas, TX 75229 | 2011-09-16 |
1275785883 | Rc Chiropractic and Sports Injury Care | Chiropractor | 11029 Shady Trail, 113, Dallas, TX 75229 | 2008-10-14 |
1639335672 | Young An Church | Durable Medical Equipment & Medical Supplies | 11445 Emerald St, Dallas, TX 75229 | 2008-07-30 |
1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
Find all providers in zip 75229 |
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 |
---|---|---|---|---|
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 |
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.