Susan D. Gifford PH.D., P.C. and Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22020 Issued in TX

Legal business name

SUSAN D. GIFFORD PH.D., P.C. AND ASSOCIATES

Practice address

3508 Highway 121
Bedford, TX 76021-3125

Phone

(817) 858-6745

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Karlea Taggart

Title

Office Manager

Phone

(817) 858-6745

Specialties & licenses 1

Addresses

Tax ID family

Susan D Gifford PHD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susan D Gifford PHD, PC

  • Clinical Psychologist
  • Bedford, TX
  • NPI 1396151700
  NPD tax ID

Locations

Practitioners 2

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

• Susan D Gifford, PH.D, FPPR, FICPP

  • Psychologist
  • Bedford, TX
  • NPI 1831217801
  NPD (past)
• Ann Marie Leist, PSY.D.

  • Clinical Psychologist
  • Bedford, TX
  • NPI 1932527793
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1114284148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213125",
            "telephone_number": "817-858-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN D. GIFFORD PH.D., P.C. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "TAGGART",
        "authorized_official_first_name": "KARLEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-858-6745"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramsa Suhail, M.D.
• Sunnshine DME LLC
• Sunrise Home Health Services of America, Inc.
• Surgical Masters First Assistants
• Susan D Gifford PHD, PC
• Susan Y Pelletier
• Thomas Swain, ATC, LAT
• Frank Harvey Swords, D.O.
• Tracy Sykes
• Maria del Sol Tager Esquinca, LMFT-A

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.