Organization Active NPI

Covenant Christian Ministries

Doing business as ADD Treatment and Research Center

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1063619138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31565 Issued in TX
Legal business name
COVENANT CHRISTIAN MINISTRIES
Doing business as
ADD Treatment and Research Center
Practice address
5400 Lyndon B Johnson Fwy
Suite 930
Dallas, TX 75240-1000
Phone
(972) 980-7488
NPI assigned
Jul 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cindy J. Taylor, PH.D.NPI 1710994017
Title
President
Phone
(972) 980-7488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 31565 TX Primary

Addresses

Primary practice location

5400 Lyndon B Johnson Fwy
Suite 930
Dallas, TX 75240-1000

Mailing address

5400 Lyndon B Johnson Fwy
Suite 930
Dallas, TX 75240-1000
Phone (972) 980-7488

Other names 1

  • ADD Treatment and Research Center Doing business as

National Provider Directory

National Provider Directory

Locations

5400 Lyndon B Johnson Fwy
Ste 930
Dallas, TX 75240
Phone (972) 980-7488

3010 LBJ
Ste 1022
Dallas, TX 75234
Phone (972) 980-7488

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063619138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401000",
            "telephone_number": "972-980-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401000",
            "telephone_number": "972-980-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CHRISTIAN MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-980-7488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADD Treatment and Research Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, 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.

Verify at the official NPI Registry.