NPIMap

Organization Active NPI

Executive Producers

  • Clinical Psychologist
  • Fort Worth, TX
National Provider Identifier
1205132065
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34392 Issued in TX
Legal business name
EXECUTIVE PRODUCERS
Doing business as
Prima West
Practice address
4150 International PLZ
Ste 600
Fort Worth, TX 76109-4892
Phone
(972) 800-5878
Fax
(972) 386-8597
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Dr. Esther Lockart, PH.D.
Title
Ceo
Phone
(972) 800-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 34392 TX Primary

Addresses

Primary practice location

4150 International PLZ
Ste 600
Fort Worth, TX 76109-4892

Mailing address

8413 Palo Duro CT
Fort Worth, TX 76116-6842
Phone (972) 800-5878

Other names 1

  • Prima West Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1205132065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 PALO DURO CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166842",
            "telephone_number": "972-800-5878",
            "fax_number": "972-386-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ",
            "address_2": "STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094892",
            "telephone_number": "972-800-5878",
            "fax_number": "972-386-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE PRODUCERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "LOCKART",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-800-5878",
        "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": "34392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prima West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2011; 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.