Active NPI
Professional Psychological Services
- Psychologist
- Richardson, TX
National Provider Identifier
1053531814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 22443
- Legal business name
- PROFESSIONAL PSYCHOLOGICAL SERVICES
- Practice address
- 600 W Campbell Rd
Ste 2
Richardson, TX 75080-3357 - Phone
- (972) 669-1266
- Fax
- (972) 664-0381
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tim Branaman, PHD
- Title
- President
- Phone
- (972) 669-1266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 22443 | TX | Primary |
Addresses
Primary practice location
600 W Campbell Rd
Ste 2
Richardson, TX 75080-3357
Mailing address
600 W Campbell Rd
Ste 2
Richardson, TX 75080-3357
Phone (972) 669-1266
National Provider Directory
National Provider DirectoryLocations
600 W Campbell Rd
Ste 2
Richardson, TX 75080
Phone (972) 669-1266
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Richardson, TX
- NPI 1093723256
-
- Clinical Psychologist
- Richardson, TX
- NPI 1851405948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053531814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W CAMPBELL RD",
"address_2": "STE 2",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803357",
"telephone_number": "972-669-1266",
"fax_number": "972-664-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W CAMPBELL RD",
"address_2": "STE 2",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803357",
"telephone_number": "972-669-1266",
"fax_number": "972-664-0381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRANAMAN",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-669-1266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "TX",
"license": "22443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.