Behavioral Psychology Clinic, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2-3078 Issued in TX

Legal business name

BEHAVIORAL PSYCHOLOGY CLINIC, PC

Practice address

5201 S Westmoreland Rd
Dallas, TX 75237-1622

Phone

(214) 339-2047

Fax

(214) 339-2049

NPI assigned

Mar 26, 2007

Last updated

Jul 21, 2010By 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

Dr. Jesse C Ingram, PH.D.NPI 1407837024

Title

Licensed Psyhologist Ceo

Phone

(214) 339-2047

Specialties & licenses 5

Addresses

Other names 1

• The Rehab Group Other name

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.

• Jesse C Ingram, PHD

  • Psychologist
  • Dallas, TX
  • NPI 1407837024
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1063530301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S WESTMORELAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752371622",
            "telephone_number": "214-339-2047",
            "fax_number": "214-339-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 S WESTMORELAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752371622",
            "telephone_number": "214-339-2047",
            "fax_number": "214-339-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL PSYCHOLOGY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED PSYHOLOGIST CEO",
        "authorized_official_telephone_number": "214-339-2047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-3078",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "2-3078",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3078",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-3078",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "2-3078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rehab Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Behavioral Health Connections, Inc.
• Behavioral Health Dallas, PLLC
• Behavioral Health Link Corporation
• Behavioral Health of North Texas LLP
• Behavioral Medicine Clinic
• Mohammad Rahim Behdar, DC
• Annahita Beheshti, DMSC, PA-C
• Sheila N Behimehr
• Soroush Behnam, MD
• Martin M Behnke, MD

• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.