Active NPI
Metro Child and Family Psychology
- Clinical Psychologist
- Rockwall, TX
National Provider Identifier
1154079887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Rockwall, TX
- NPI 1962706861
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.