Active NPI
Bonner Dobbs
- Psychologist
- Dallas, TX
National Provider Identifier
1235593740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8751 Ferndale Rd Apt 153
Dallas, TX 75238-3511 - Phone
- (469) 878-9148
- NPI assigned
- Apr 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8751 Ferndale Rd Apt 153
Dallas, TX 75238-3511
Mailing address
8751 Ferndale Rd Apt 153
Dallas, TX 75238-3511
Phone (469) 878-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ketchinae Psychological Services | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ketchitnae Psychological Services
- Psychologist
- Bothell, WA
- NPI 1316715485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1235593740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8751 FERNDALE RD APT 153",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383511",
"telephone_number": "469-878-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8751 FERNDALE RD APT 153",
"city": "DALLAS",
"state": "TX",
"postal_code": "752383511",
"telephone_number": "469-878-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBS",
"first_name": "BONNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.