Active NPI
Kimberly McCain, LPA
- Psychologist
- Dallas, TX
National Provider Identifier
1235612284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34594
- Practice address
- 17440 Dallas Pkwy Ste 132
Dallas, TX 75287-7367 - Phone
- (469) 733-3852
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 34594 | TX | Primary |
Addresses
Primary practice location
17440 Dallas Pkwy Ste 132
Dallas, TX 75287-7367
Mailing address
3718 White River Dr
Dallas, TX 75287-4814
Phone (469) 733-3852
Other practice location 1
7557 Rambler Rd Ste 740
Dallas, TX 75231-2390
Phone (214) 361-2100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34594 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1235612284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 WHITE RIVER DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752874814",
"telephone_number": "469-733-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17440 DALLAS PKWY STE 132",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877367",
"telephone_number": "469-733-3852"
}
],
"practiceLocations": [
{
"address_1": "7557 Rambler Rd Ste 740",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752312390",
"country_code": "US",
"telephone_number": "214-361-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAIN",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34594",
"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 Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.