Individual provider Active NPI

Dena Ann Dries, PSYD

  • Clinical Psychologist
  • Grapevine, TX
National Provider Identifier
1235390600
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38079 Issued in TX
Practice address
2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010
Phone
(617) 957-9665
NPI assigned
Jun 18, 2008
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
38079TXMDClinical 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

Sources for this page

Verify at the official NPI Registry.