PERFORMANCE NEUROPSYCHOLOGY PLLC (NPI# 1770082745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770082745 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE NEUROPSYCHOLOGY PLLC |
| Practice Address |
8340 Meadow Road Suite 134 Dallas TX 75231 |
| Mailing Address |
Po Box 6001 Frisco TX 75035 |
| Mailing Telephone | 4694006230 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MARK THOMAS BARISA (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 4694006230 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
34011 | TX | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
34011 | TX | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
34011 | TX | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 34011 | TX | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 South Mcdonald Street Suite 700, Mckinney, TX 75069 | 4694006230 |
| Street Address |
8340 MEADOW ROAD SUITE 134 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214375 | Hippomed Wellness Clinics Limited Company | Clinic/Center | 5930 Lbj Fwy Ste 380, Dallas, TX 75240-6370 | 2020-07-31 |
| 1417566415 | Bonnieview-overton Medical Clinic | Clinic/Center | 3507 Bonnie View Rd, Dallas, TX 75216-4704 | 2020-07-26 |
| 1679123632 | Equilyst LLC. | Clinic/Center | 2909 Canton St Ste C, Dallas, TX 75226-3508 | 2019-09-12 |
| 1962977355 | Resolves Healthcare Services, LLC | Clinic/Center | 5151 Belt Line Rd Ste 715, Dallas, TX 75254-7547 | 2018-10-11 |
| 1376067793 | William Parker Highland Park | Clinic/Center | 4442 Lovers Lane, Dallas, TX 75225-6923 | 2017-07-27 |
| 1851724918 | Joey D. Tran, Od Pllc | Clinic/Center | 5334 Ross Ave Ste 100, Dallas, TX 75206-7402 | 2013-08-13 |
| 1972856631 | Bridge Medical Group LLC | Clinic/Center | 4303 N Central Expy, Dallas, TX 75205-5597 | 2012-10-18 |
| 1609127000 | Lyndsay M Posey | Clinic/Center | 289 E Ellendale Ave Ste 601, Dallas, OR 97338-1570 | 2012-09-25 |
| 1780969584 | Questcare | Clinic/Center | 12221 Merit Dr Ste 1620, Dallas, TX 75251-2208 | 2011-10-13 |
| 1265664874 | Glamour Technology and Wellness | Clinic/Center | 206 S Zang Blvd, Dallas, TX 75208-4519 | 2009-08-14 |
| 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.