Active NPI
Dena Ann Dries, PSYD
- Clinical Psychologist
- Grapevine, TX
National Provider Identifier
1235390600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38079
- Practice address
- 2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010 - Phone
- (617) 957-9665
- NPI assigned
- Jun 18, 2008
- Last updated
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38079 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010
Mailing address
2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010
Phone (617) 957-9665
Other names 1
- Annie Dries
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Jul 31, 2024 through Jul 31, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38079 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1235390600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 MUSTANG DR STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760511010",
"telephone_number": "617-957-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 MUSTANG DR STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760511010",
"telephone_number": "617-957-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIES",
"first_name": "DENA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38079",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "DRIES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grapevine, TX
- Justin Thomas Dowdy, M.D.
- Ashaunti Doyle, RN
- Dr. Britton a. Taylor D.C. (Dr. Britton A. Taylor D.C. PLLC)
- Dr. Mark Zebrowski OD, PA
- James Matthew Dreadfulwater, D.C.
- DSC Dental Grapevine PLLC (The Grapevine Dentist)
- Rochelle R Duke-Rutledge, LPC-A
- Elizebeth Ruth Dull
- Laurel Dupont, PT
- Sonia M Duque-Miyashita, LPC-S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.