Psychology Services of North Texas

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32477 Issued in TX

Legal business name

PSYCHOLOGY SERVICES OF NORTH TEXAS

Practice address

1100 Airport Fwy
Suite 202
Bedford, TX 76022-6667

Phone

(817) 354-5554

Fax

(817) 354-5556

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leslie M. Faris, PHDNPI 1134253198

Title

Licensed Psychologist

Phone

(817) 354-5554

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Marie Faris, PH.D.

  • Clinical Psychologist
  • Keller, TX
  • NPI 1134253198
  NPD (past) Authorized official
• Russell Floyd Bartee

  • Marriage & Family Therapist
  • Bedford, TX
  • NPI 1699854844
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1033318860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 AIRPORT FWY",
            "address_2": "SUITE 202",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226667",
            "telephone_number": "817-354-5554",
            "fax_number": "817-354-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 AIRPORT FWY",
            "address_2": "SUITE 202",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226667",
            "telephone_number": "817-354-5554",
            "fax_number": "817-354-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY SERVICES OF NORTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "817-354-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Priya Subramanian MD PA
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• Prudentevaluations Consulting LLC
• Sanjay Vijay Pujar, M.D.
• Purnima Venkatesh, M.D., P.a.
• George Derrick Pylant IV, DDS, MS
• George Derrick Pylant III, D.D.S.
• Shane Pynes, LPC-INTERN

• Clinical Psychologist in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.