Individual provider Active NPI

Christine Reed, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1093095994
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34925 Issued in TX
Practice address
11882 Greenville Ave Ste 107
Dallas, TX 75243-3567
Phone
(972) 644-8686
Fax
(972) 644-8688
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34925 TX Primary

Addresses

Primary practice location

11882 Greenville Ave Ste 107
Dallas, TX 75243-3567

Mailing address

11882 Greenville Ave Ste 107
Dallas, TX 75243-3567
Phone (972) 644-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34925TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Price Proctor & Associates LLP PastSince Aug 12, 2020 Accepting new patients
Price Proctor & Associates PLLC Clinical PastSince May 29, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1093095994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433567",
            "telephone_number": "972-644-8686",
            "fax_number": "972-644-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433567",
            "telephone_number": "972-644-8686",
            "fax_number": "972-644-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CHRISTINE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 23, 2011; 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.