Tricia Favre, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32265 Issued in TX

Practice address

2301 Ohio Dr
Suite 135
Plano, TX 75093-3927

Phone

(972) 612-1188

Fax

(972) 612-8040

NPI assigned

May 5, 2008

Reactivated

Feb 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One RehabGroup PAC ID 7618208752, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• One Rehab

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1952954240
  Medicare reassignment Care Compare group NPD
• Health Psychology Center

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1922317858
  Medicare reassignment NPD
• Mind Body Wellness PC

  • Psychologist
  • Dallas, TX
  • NPI 1710929450
  Medicare reassignment NPD
• Assurasource LTD

  • Clinical Social Worker
  • Plano, TX
  • NPI 1194746016
  NPD (past)
• Fletcher & Associates Psychological Services, P.a.

  • Psychologist
  • Plano, TX
  • NPI 1861668246
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1073789459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "SUITE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933927",
            "telephone_number": "972-612-1188",
            "fax_number": "972-612-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 OHIO DR",
            "address_2": "SUITE 135",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933927",
            "telephone_number": "972-612-1188",
            "fax_number": "972-612-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVRE",
        "first_name": "TRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2016-02-19",
        "deactivation_date": "2016-02-15",
        "reactivation_date": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32265",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "32265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fas Ms Texas Physicians, P.a.
• Arooj Fatima
• Maribel Faucett, LPC
• Kathryn Marie Favaloro, PT, DPT
• Favor Psychiatry LLC
• Fawzia N. Jaffee, M.D. P.a. Dba Plano Healthcare for Women
• Yousra Fayad, DO
• FBMC Tribute Inc
• Melissa Marie Feagley, RD, LD
• Brittney Morgan Feaster, RBT

• Clinical Psychologist in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.