Individual provider Active NPI

Dale A. General, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1215080122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22798 Issued in TX
Practice address
11882 Greenville Ave
Suite 105
Dallas, TX 75243-0586
Phone
(214) 340-1601
Fax
(866) 265-2249
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22798 TX Primary

Addresses

Primary practice location

11882 Greenville Ave
Suite 105
Dallas, TX 75243-0586

Mailing address

11882 Greenville Ave
Suite 105
Dallas, TX 75243-0586
Phone (214) 340-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000311 TX Practitioner - Clinical Psychologist 6103849138 Practice locations: Garland, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

675 Town Square Blvd
Suite 200
Garland, TX 75040-2991
Phone (214) 340-1601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215080122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430586",
            "telephone_number": "214-340-1601",
            "fax_number": "866-265-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11882 GREENVILLE AVE",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430586",
            "telephone_number": "214-340-1601",
            "fax_number": "866-265-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERAL",
        "first_name": "DALE",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.