Compass Youth and Family Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37383 Issued in TX

Legal business name

COMPASS YOUTH AND FAMILY PSYCHOLOGICAL SERVICES LLC

Practice address

5009 Thompson Ter Ste 103
Colleyville, TX 76034-5850

Phone

(817) 618-3705

Fax

(817) 668-6013

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristi Ann Mannon, PHDNPI 1144639865

Title

Clinical Director

Phone

(817) 618-3705

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kristi Ann Mannon, PH.D.

  • Clinical Psychologist
  • Colleyville, TX
  • NPI 1144639865
  NPD Authorized official

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1144767450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-618-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-618-3705",
            "fax_number": "817-668-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS YOUTH AND FAMILY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "MANNON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "817-618-3705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73090",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleyville Place Assisted Living
• Colleyville Psychiatric Associates PLLC
• Colleyville Vision Associates
• Josana Elizabeth Collins, PA-C
• Colverse Iom LLC
• Concord Anesthesia Services PLLC
• Katie M Coniglio, DDS
• Jeffrey Alan Connors, D.C.
• Consulting Psychologists
• Stephanie Cook, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.