Active NPI
Connie M Dunn, PH.D.
- Clinical Psychologist
- Arlington, TX
National Provider Identifier
1043956550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33562
- Practice address
- 3901 W Green Oaks Blvd Ste B
Arlington, TX 76016-2789 - Phone
- (817) 688-3386
- NPI assigned
- May 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33562 | TX | Primary |
Addresses
Primary practice location
3901 W Green Oaks Blvd Ste B
Arlington, TX 76016-2789
Mailing address
4200 Country Hill Rd
Ft Worth, TX 76140-8500
Phone (817) 688-3386
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33562 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651968000000",
"number": "1043956550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 COUNTRY HILL RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761408500",
"telephone_number": "817-688-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W GREEN OAKS BLVD STE B",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162789",
"telephone_number": "817-688-3386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CONNIE",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-08",
"last_updated": "2022-05-08",
"certification_date": "2022-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.