Active NPI
NCC Endeavor PLLC
- Clinical Psychologist
- Arlington, TX
National Provider Identifier
1144958802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- NCC ENDEAVOR PLLC
- Practice address
- 3901 W Green Oaks Blvd Ste B
Arlington, TX 76016-2789 - Phone
- (682) 532-9600
- Fax
- (817) 668-0527
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Connie M Dunn, PH.D.
- Title
- Owner
- Phone
- (817) 688-3386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3901 W Green Oaks Blvd Ste B
Arlington, TX 76016-2789
Mailing address
4200 Country Hill Rd
Ft Worth, TX 76140-8500
Phone (817) 688-3386
Other names 1
- Metroplex Psychological Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660089600000",
"number": "1144958802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 COUNTRY HILL RD",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761408500",
"telephone_number": "817-688-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W GREEN OAKS BLVD STE B",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162789",
"telephone_number": "682-532-9600",
"fax_number": "817-668-0527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NCC ENDEAVOR PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-688-3386",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Metroplex Psychological Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.