Active NPI
Vince L Lembo
- Psychologist
- Fort Worth, TX
National Provider Identifier
1164549606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21937
- Practice address
- 5312 Trail Lake Dr
Fort Worth, TX 76133-1931 - Phone
- (817) 263-3041
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21937 | TX | Primary |
Addresses
Primary practice location
5312 Trail Lake Dr
Fort Worth, TX 76133-1931
Mailing address
4203 Pembrooke Pkwy W
Colleyville, TX 76034-4911
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 |
|---|---|---|---|
| 21937 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164549606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 PEMBROOKE PKWY W",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760344911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 TRAIL LAKE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761331931",
"telephone_number": "817-263-3041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMBO",
"first_name": "VINCE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "21937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.