Divergent Neuropsychological Assess

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

DIVERGENT NEUROPSYCHOLOGICAL ASSESS

Doing business as

Divergent Neuropsychology, PLLC

Practice address

713 E 1St St
Prosper, TX 75078-2982

Phone

(469) 487-7911

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina Mae Rice, PSY.DNPI 1386288405

Title

Practice Owner/Neuropsychologist

Phone

(469) 487-7911

Specialties & licenses 1

Addresses

Other names 1

• Divergent Neuropsychology, PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Mae Rice, PSY.D.

  • Clinical Neuropsychologist
  • Frisco, TX
  • NPI 1386288405
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1033940614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E 1ST ST",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782982",
            "telephone_number": "469-487-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E 1ST ST",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782982",
            "telephone_number": "469-487-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT NEUROPSYCHOLOGICAL ASSESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRACTICE OWNER/NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "469-487-7911",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divergent Neuropsychology, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diamondcrest Medical Center
• Alyssa Diaz de Leon
• Samantha Diaz de Leon
• Alyssa Dietz, PHD
• Dinah Wan, M.D., P.a.
• Divine Harmony Services LLC
• William D. Dodge, M.D.
• Anjelica Dodson
• Donald Glass II MD PHD PLLC (Catalyst Dermatology)
• Tanner Dotson, CCC-SLP

• Clinical Neuropsychologist in Prosper, TX
• Providers in Prosper, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.