Denton Integrative Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-6863 Issued in TX

Legal business name

DENTON INTEGRATIVE PSYCHOLOGY, PLLC

Practice address

2220 San Jacinto Blvd
Suite 355
Denton, TX 76205-7591

Phone

(940) 565-0155

NPI assigned

May 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Carola Hundrich-Souris, PH.D.NPI 1871782094

Title

Psychologist

Phone

(940) 565-0155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carola Hundrich-Souris, PH.D.

  • Clinical Psychologist
  • Denton, TX
  • NPI 1871782094
  NPD (past) Authorized official

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1154812048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SAN JACINTO BLVD STE 355",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057591",
            "telephone_number": "940-565-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SAN JACINTO BLVD",
            "address_2": "SUITE 355",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057591",
            "telephone_number": "940-565-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON INTEGRATIVE PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "HUNDRICH-SOURIS",
        "authorized_official_first_name": "CAROLA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "940-565-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Denton, TX
• Providers in Denton, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.