Park Cities Child and Adolescent Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PARK CITIES CHILD AND ADOLESCENT PSYCHOLOGY

Practice address

4138 Druid LN
Dallas, TX 75205-1143

Phone

(214) 606-8141

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Frederick Collins Hodges, PSY. D.NPI 1568866721

Title

Owner/Sole Member

Phone

(214) 606-8141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Frederick Collins Hodges III, PSY.D.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1568866721
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1124414115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 DRUID LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051143",
            "telephone_number": "214-606-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 DRUID LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051143",
            "telephone_number": "214-606-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITIES CHILD AND ADOLESCENT PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "214-606-8141",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pariss United LLC
• Tanazul T Pariswala, MD
• Sreevalli Pariti, M.D.
• Park Central Pain Medicine Associates, PA
• Park Central Surgical Center, LTD
• Park Cities Chirosport Inc
• Park Cities Cosmetic Surgery
• Park Cities Dental Group LLP
• Park Cities Dermatology, PA
• Park Cities Emergency Anesthesia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.