NPIMap

Organization Active NPI

Frank B Wichern, PHD

  • Health Service Psychologist
  • Richardson, TX
National Provider Identifier
1073583589
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
21663 Issued in TX
Legal business name
FRANK B WICHERN, PHD
Practice address
600 W Campbell Rd
Suite 5
Richardson, TX 75080-3357
Phone
(972) 234-3178
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Frank B Wichern Sr., PH.D.
Title
President
Phone
(972) 234-3178

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 21663 TX
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 21663 TX
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 21663 TX Primary

Addresses

Primary practice location

600 W Campbell Rd
Suite 5
Richardson, TX 75080-3357

Mailing address

600 W Campbell Rd
Suite 5
Richardson, TX 75080-3357
Phone (972) 234-3178

Other identifiers 5

IdentifierTypeStateIssuer
171179OtherTXVALUE OPTIONS
00FC19OtherTXBLUE CROSS
0004099945OtherAETNA
07984000OtherMAGELLAN HEALTH
72882191OtherUHC

National Provider Directory

National Provider Directory

Locations

600 W Campbell Rd
Ste 5
Richardson, TX 75080
Phone (972) 234-3178

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1073583589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD",
            "address_2": "SUITE 5",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803357",
            "telephone_number": "972-234-3178",
            "fax_number": "972-437-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CAMPBELL RD",
            "address_2": "SUITE 5",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803357",
            "telephone_number": "972-234-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK B WICHERN, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "WICHERN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-234-3178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21663",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "21663",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "21663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "171179",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00FC19",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004099945",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH",
            "identifier": "07984000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "72882191",
            "state": null
        }
    ],
    "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 7, 2007; 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.