Organization Active NPI

Janice Bryan PC

  • Clinical Social Worker
  • Richardson, TX
National Provider Identifier
1164737649
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20450 Issued in TX
Legal business name
JANICE BRYAN PC
Practice address
801 E Campbell Rd
Ste 510
Richardson, TX 75081-1890
Phone
(214) 544-2476
Fax
(972) 744-9995
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Ms. Janice M Bryan, LCSWNPI 1003982505
Title
President
Phone
(214) 544-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 20450 TX Primary

Addresses

Primary practice location

801 E Campbell Rd
Ste 510
Richardson, TX 75081-1890

Mailing address

1705 Knoll CT
Allen, TX 75002-2605
Phone (214) 544-2476

Other names 1

  • Janice M Bryan LCSW Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1164737649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 KNOLL CT",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022605",
            "telephone_number": "214-544-2476",
            "fax_number": "214-544-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CAMPBELL RD",
            "address_2": "STE 510",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811890",
            "telephone_number": "214-544-2476",
            "fax_number": "972-744-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE BRYAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-544-2476",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "20450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janice M Bryan LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.