TEXAS TRAUMATIC BRAIN INJURY REHAB (NPI# 1659815892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659815892 |
| Entity Type | Organization |
| Organization Name | TEXAS TRAUMATIC BRAIN INJURY REHAB |
| Practice Address |
214 W. Colorado Blvd. Dallas TX 75208 |
| Mailing Address |
Po Box 226656 Dallas TX 75222 |
| Practice Telephone | 2149439431 |
| Practice Fax Number | 2149439407 |
| Mailing Telephone | 2149439431 |
| Mailing Fax Number | 2149439407 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | LINDA RILEY (ADMIN) |
| Authorized Official Telephone | 2149439431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
214 W. COLORADO BLVD. |
| City | DALLAS |
| State | TX |
| Zip Code | 75208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| 1841588399 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 221 W Colorado Blvd Ste 445, Dallas, TX 75208 | 2011-07-19 |
| Find all providers in zip 75208 | ||||
| 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 |
| 1225441355 | North Texas Neurorehabilitation Center Pa | Clinical Neuropsychologist | 4315 San Gabriel Dr, Dallas, TX 75229-4131 | 2014-06-05 |
| 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 |
| 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.