Individual provider Active NPI

Dale J. Veith, PSYD

  • Clinical Psychologist
  • Killeen, TX
National Provider Identifier
1003855024
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38739 Issued in TX
Practice address
3800 S W S Young Dr Ste 407
Killeen, TX 76542-3374
Phone
(254) 252-3747
Fax
(254) 549-0086
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1292 OR
Rehabilitation Psychologist 103TR0400X 1292 OR
Clinical Psychologist 103TC0700X 38739 TX Primary

Addresses

Primary practice location

3800 S W S Young Dr Ste 407
Killeen, TX 76542-3374

Mailing address

3800 S W S Young Dr Ste 407
Killeen, TX 76542-3374
Phone (254) 252-3748

Other practice location 1

717 SW Gilson St
McMinnville, OR 97128-6913
Phone (503) 550-7185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1292ORMDClinical Psychologist
38739TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
PM Management - Cedar Park NC LLC Past Accepting new patients
Stephen T. Belk Psy.D. PLLC PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1003855024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 407",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423374",
            "telephone_number": "254-252-3748",
            "fax_number": "254-549-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S W S YOUNG DR STE 407",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423374",
            "telephone_number": "254-252-3747",
            "fax_number": "254-549-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 SW Gilson St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971286913",
            "country_code": "US",
            "telephone_number": "503-550-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEITH",
        "first_name": "DALE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1292",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OR",
            "license": "1292",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.