Organization Active NPI

David F. Lerner, PH.D., PLLC

  • Clinical Neuropsychologist
  • McKinney, TX
National Provider Identifier
1073981916
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
36992 Issued in TX
Legal business name
DAVID F. LERNER, PH.D., PLLC
Practice address
6717 Eldorado Pkwy
Suite 110
McKinney, TX 75070-5635
Phone
(214) 585-0584
Fax
(214) 585-0586
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Authorized official

Name
Dr. David Frederick Lerner, PH.D.NPI 1780052605
Title
Licensed Psychologist
Phone
(602) 405-0521

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 36992 TX Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 36992 TX

Addresses

Primary practice location

6717 Eldorado Pkwy
Suite 110
McKinney, TX 75070-5635

Mailing address

6717 Eldorado Pkwy
Suite 110
McKinney, TX 75070-5635
Phone (214) 585-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151123002089 TX Part B Supplier - Clinic/Group Practice 6305146374 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1404 Gables Ct
Ste 102
Plano, TX 75075
Phone (214) 548-4803

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": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1073981916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 ELDORADO PKWY",
            "address_2": "SUITE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705635",
            "telephone_number": "214-585-0584",
            "fax_number": "214-585-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 ELDORADO PKWY",
            "address_2": "SUITE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705635",
            "telephone_number": "214-585-0584",
            "fax_number": "214-585-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F. LERNER, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-405-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "36992",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.