NPIMap

Organization Active NPI

Neurowellness

  • Psychologist
  • Dallas, TX
National Provider Identifier
1124347026
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MFC 7388 437 Issued in TX
Legal business name
NEUROWELLNESS
Practice address
5310 Harvest Hill Rd
Suite 165
Dallas, TX 75230-5806
Phone
(972) 386-9776
Fax
(972) 365-3171
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Ross M Stewart, PH.D
Title
President, Dir of Clinical Services
Phone
(972) 386-9776

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 7388 TX
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X MFC 7388 437 TX Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 437 TX
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC01124 TX

Addresses

Primary practice location

5310 Harvest Hill Rd
Suite 165
Dallas, TX 75230-5806

Mailing address

5310 Harvest Hill Rd
Suite 165
Dallas, TX 75230-5806
Phone (972) 386-9776

National Provider Directory

National Provider Directory

Locations

5310 Harvest Hill Rd
Ste 165
Dallas, TX 75230
Phone (972) 386-9776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1124347026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD",
            "address_2": "SUITE 165",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305806",
            "telephone_number": "972-386-9776",
            "fax_number": "972-365-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HARVEST HILL RD",
            "address_2": "SUITE 165",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752305806",
            "telephone_number": "972-386-9776",
            "fax_number": "972-365-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, DIR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "972-386-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "7388",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "MFC 7388 437",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "437",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01124",
            "primary": false
        }
    ],
    "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 May 18, 2010; 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.