Active NPI
North Texas Neurorehabilitation Center PA
- Clinical Neuropsychologist
- Dallas, TX
National Provider Identifier
1225441355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 34716
- Legal business name
- NORTH TEXAS NEUROREHABILITATION CENTER PA
- Practice address
- 4315 San Gabriel Dr
Dallas, TX 75229-4131 - Phone
- (214) 842-7887
- NPI assigned
- Jun 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Myles Masino, PSYD
- Title
- President
- Phone
- (214) 842-7887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 34716 | TX | Primary |
Addresses
Primary practice location
4315 San Gabriel Dr
Dallas, TX 75229-4131
Mailing address
4315 San Gabriel Dr
Dallas, TX 75229-4131
Phone (214) 842-7887
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1225441355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 SAN GABRIEL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752294131",
"telephone_number": "214-842-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 SAN GABRIEL DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752294131",
"telephone_number": "214-842-7887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TEXAS NEUROREHABILITATION CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "MASINO",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "MYLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-842-7887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "34716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- North Texas Mental Health, PLLC
- North Texas Neighborhood Medical Clinic, PLLC
- North Texas Neuro Stroke Op PLLC
- North Texas Neurohealth LLC
- North Texas Neuromonitoring, PLLC
- North Texas Open Air MRI, LLC
- North Texas Pain Management
- North Texas Perinatal Associates PA
- North Texas Perinatal Associates, P.a.
- North Texas Physiatry P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.