Individual provider Active NPI

Florencezell Whitfield-Miles, PSY.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1104219419
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36353 Issued in TX
Practice address
1380 River Bend Dr
Dallas, TX 75247-4914
Phone
(214) 743-6103
Fax
(214) 903-3345
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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 36353 TX Primary

Addresses

Primary practice location

1380 River Bend Dr
Dallas, TX 75247-4914

Mailing address

1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-6103

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160412000788 TX Practitioner - Clinical Psychologist 1951609759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michelle Rinella, PSYD, PAGroup PAC ID 5395060891, 9 clinicians

Practice addresses (Care Compare)

1400 Preston Rd
Suite 260
Plano, TX 75093-5183
Phone (214) 396-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Rinella, PSYD, PA Clinical CurrentSince Aug 4, 2017 Accepting new patients
CPST Healthcare, LLC CurrentSince Oct 17, 2024 Accepting new patients

Locations

222 E Wheatland Rd
Ste 200
Duncanville, TX 75116
Phone (214) 396-3960

1320 S University Dr
Ste 810
Fort Worth, TX 76107
Phone (945) 867-7823

1400 Preston Rd
Ste 260
Plano, TX 75093
Phone (214) 396-3960

Interoperability endpoints

  • Direct secure messaging: comprehensivepsychologicalservices.florencezellmiles@144579.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1104219419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474914",
            "telephone_number": "214-743-6103",
            "fax_number": "214-903-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474914",
            "telephone_number": "214-743-6103",
            "fax_number": "214-903-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD-MILES",
        "first_name": "FLORENCEZELL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.