Psychological Services of North Texas, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36072 Issued in TX

Legal business name

PSYCHOLOGICAL SERVICES OF NORTH TEXAS, PLLC

Practice address

7135 Colleyville Blvd
Suite 101
Colleyville, TX 76034-6240

Phone

(817) 416-7169

Fax

(817) 416-7175

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Kathleen L Nadelson, PSY.D.NPI 1336584341

Title

Licensed Psychologist

Phone

(972) 445-9340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Kathleen Nadelson, PSY.D.

  • Clinical Psychologist
  • Colleyville, TX
  • NPI 1336584341
  Medicare reassignment Authorized official
• Betty J. Eitel, PH.D.

  • Counseling Psychologist
  • Hurst, TX
  • NPI 1316027477
  NPD
• Christopher Missimo, MA, NCC, LPC-I

  • Counselor
  • Colleyville, TX
  • NPI 1366925752
  NPD
• Alice Wade Noles, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1700282068
  NPD
• Carol R. Wadsworth, PH.D.

  • Clinical Psychologist
  • Hurst, TX
  • NPI 1427420249
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447459200000",
    "number": "1073909438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 COLLEYVILLE BLVD",
            "address_2": "SUITE 101",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 COLLEYVILLE BLVD",
            "address_2": "SUITE 101",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346240",
            "telephone_number": "817-416-7169",
            "fax_number": "817-416-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES OF NORTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-11-14",
        "status": "A",
        "authorized_official_last_name": "NADELSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "972-445-9340",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Lynn Porter, DDS
• Premier Urgent Care Associates PA
• Samantha Elizabeth Pritchett, PA-C
• Henry M Prost, M.D.
• Psyched to Help LLC
• Jennifer Gibson Purdy, M.S., CCC-SLP
• Jennifer Aleman Pylant, DDS
• Q5 Medical Solutions, LLC
• Quattlebaum Counseling, PLLC
• Graham Hollis Quattlebaum

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.