Spectrum Family Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

42032 Issued in TX

Legal business name

SPECTRUM FAMILY THERAPY

Practice address

6220 Campbell Rd Ste 102
Dallas, TX 75248-1394

Phone

(469) 209-1111

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Mandell, B.A.

Title

Operations Administration

Phone

(214) 893-7263

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1154780047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 CAMPBELL RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481394",
            "telephone_number": "469-209-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 CAMPBELL RD STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481394",
            "telephone_number": "469-209-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "MANDELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OPERATIONS ADMINISTRATION",
        "authorized_official_telephone_number": "214-893-7263",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "42032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Surgery Center of Dallas LLP
• Audrey Speck Speck, PT, DPT
• Arielle Iola Spector, AUD, ABAC
• Spectrum Behavior Services LLC
• Spectrum Chiropractic & Acupuncture
• Spectrum Labs LLC
• Connie Janel Speece, D.O.
• Conrad A Speece, DO
• Speech Language Voice & Swallowing PLLC
• Speechcare,Inc.

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.