KRISTA KULESZA, PH.D., LLC (NPI# 1578982401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578982401 |
| Entity Type | Organization |
| Organization Name | KRISTA KULESZA, PH.D., LLC |
| Practice Address |
305 Miron Dr Southlake TX 76092-7831 |
| Practice Telephone | 6825542946 |
| Practice Fax Number | 8665731719 |
| Mailing Telephone | 6825542946 |
| Mailing Fax Number | 8665731719 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | DR. KRISTA KULESZA (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 6825542946 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 33605 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 312422401 | 05 |
| Street Address |
305 MIRON DR |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114966074 | H. E. B. Behavioral Medicine, P. C. | Psychologist | 305 Miron Dr, Southlake, TX 76092-7831 | 2006-06-06 |
| 1023444932 | Dabal Marital Counseling | Marriage & Family Therapist | 305 Miron Dr, Southlake, TX 76092-7831 | 2013-09-24 |
| 1013232032 | Maryellen Dabal | Marriage & Family Therapist | 305 Miron Dr, Southlake, TX 76092-7831 | 2010-04-01 |
| 1437319225 | Rebecca B. Lapidus, Phd, PC | Community/Behavioral Health | 305 Miron Dr, Southlake, TX 76092-7831 | 2008-06-15 |
| 1477727741 | Lori Ann Shahidi | Psychiatry & Neurology | 305 Miron Dr, Southlake, TX 76092-7831 | 2008-04-17 |
| 1609090471 | Mark Walker Matthews | Psychologist | 305 Miron Dr, Suite 400-a, Southlake, TX 76092-7831 | 2007-04-12 |
| 1558304691 | Dana Beth Turnbull | Psychologist | 305 Miron Dr, Southlake, TX 76092-7831 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1891337036 | Assist Psychological Services, Pllc | Psychologist | 771 E Southlake Blvd Ste 204, Southlake, TX 76092-6576 | 2019-10-09 |
| 1518481456 | Devdas Psychological Services | Psychologist | 1205 S White Chapel Blvd, Southlake, TX 76092-9332 | 2017-08-02 |
| 1184147555 | Wyatt R Evans | Psychologist | 1723 E Southlake Blvd Ste 120, Southlake, TX 76092 | 2017-07-18 |
| 1376720102 | Deborah A. Miscoll | Psychologist | 175 Westwood Dr, Suite 300, Southlake, TX 76092-7907 | 2008-01-23 |
| 1245391598 | Kristy L. Chadd | Psychologist | 1340 N White Chapel Blvd, Suite 130, Southlake, TX 76092-4303 | 2006-12-12 |
| 1942771787 | Premier Psychology Consultants Pllc | Psychologist | 1725 E Southlake Blvd Ste 102, Southlake, TX 76092-6457 | 2018-12-05 |
| 1861976771 | Ashley Michelle Smith | Psychologist | 560 N Kimball Ave Ste 130, Southlake, TX 76092-6879 | 2018-09-18 |
| 1336417369 | Southlake Psychological Associates, Pllc | Psychologist | 211 E Southlake Blvd Ste 101, Southlake, TX 76092-6274 | 2011-12-05 |
| 1225192297 | Sarah Helen Thomas Randel | Psychologist | 250 W Southlake Blvd, Suite 208, Southlake, TX 76092 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352340 | Frisco Psychology Group Inc | Psychologist | 3725 Angeles Ave, Mckinney, TX 75070-5402 | 2020-09-24 |
| 1356956783 | Yvonne Ann Fritz | Psychologist | 1402 S Custer Rd, Mckinney, TX 75072-1451 | 2020-09-11 |
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 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 |
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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.