Organization Active NPI

Metro Child and Family Psychology

  • Clinical Psychologist
  • Rockwall, TX
National Provider Identifier
1154079887
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
METRO CHILD AND FAMILY PSYCHOLOGY
Practice address
1101 Ridge Rd Ste 208
Rockwall, TX 75087-4250
Phone
(516) 350-0164
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Tanya Dwyer Masin
Title
Owner
Phone
(516) 350-0164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1101 Ridge Rd Ste 208
Rockwall, TX 75087-4250

Mailing address

1101 Ridge Rd Ste 208
Rockwall, TX 75087-4250

National Provider Directory

National Provider Directory

Locations

1101 Ridge Rd
Ste 208
Rockwall, TX 75087
Phone (469) 352-7491

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1154079887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD STE 208",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD STE 208",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874250",
            "telephone_number": "516-350-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CHILD AND FAMILY PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "DWYER MASIN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-350-0164"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.