Active NPI
Deanna Shows Liss-Clarke, PH.D.
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1154417129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3-0566
- Practice address
- 5925 Forest LN
Suite 514
Dallas, TX 75230-2712 - Phone
- (214) 256-9273
- Fax
- (214) 256-9955
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3-0566 | TX | Primary |
Addresses
Primary practice location
5925 Forest LN
Suite 514
Dallas, TX 75230-2712
Mailing address
5925 Forest LN
Suite 514
Dallas, TX 75230-2712
Phone (214) 256-9273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-0566 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ware Wellness Group, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Dallas, TX
- NPI 1851555262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1154417129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 FOREST LN",
"address_2": "SUITE 514",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302712",
"telephone_number": "214-256-9273",
"fax_number": "214-256-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 FOREST LN",
"address_2": "SUITE 514",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302712",
"telephone_number": "214-256-9273",
"fax_number": "214-256-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS-CLARKE",
"first_name": "DEANNA",
"middle_name": "SHOWS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "3-0566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.