North Texas Adolescent and Young Adult Psychology, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTH TEXAS ADOLESCENT AND YOUNG ADULT PSYCHOLOGY, PLLC

Practice address

8668 John Hickman Pkwy Ste 601
Frisco, TX 75034-9385

Phone

(972) 299-0127

Fax

(844) 809-6223

NPI assigned

Sep 4, 2019

Organization subpart

No

Name

Dr. Wade C McDonald, PHDNPI 1790334621

Title

Clinical Director

Phone

(214) 763-9595

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

• Wade Compton McDonald, PHD

  • Psychologist
  • Frisco, TX
  • NPI 1790334621
  NPD Authorized official
• Courtney Elise Sanders, PH.D.

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1952180366
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2020.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1154970085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250913",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250913",
            "telephone_number": "972-299-0127",
            "fax_number": "844-809-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8668 JOHN HICKMAN PKWY STE 601",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349385",
            "telephone_number": "972-299-0127",
            "fax_number": "844-809-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS ADOLESCENT AND YOUNG ADULT PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-763-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Frisco, TX
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.