Royal Psychological Service PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ROYAL PSYCHOLOGICAL SERVICE PC

Practice address

900 W Leuda St
Fort Worth, TX 76104-3002

Phone

(845) 738-8770

NPI assigned

Dec 25, 2019

Organization subpart

No

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

Authorized official

Name

Elie Cohen, MD

Title

MD

Phone

(516) 457-4864

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1013556992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105110",
            "telephone_number": "929-469-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043002",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Blue Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778332407",
            "country_code": "US",
            "telephone_number": "845-738-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Ryan St",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062046",
            "country_code": "US",
            "telephone_number": "929-469-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYAL PSYCHOLOGICAL SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-25",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-457-4864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Roy, M.D.
• Royal Bliss Home Healthcare LLC
• Royal Doors Transport LLC
• Royal Psychiatry Service PA
• Royal Psychiatry Service PA
• Royalty Ride
• Carsen Rozell
• Kathryn Rozell, FNP-C
• RRR Hyperbarics 3 LLC
• RS5 Medical PLLC

• Clinical Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.