DFW Psychological & Consulting Services, Inc.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

31363 Issued in TX

Legal business name

DFW PSYCHOLOGICAL & CONSULTING SERVICES, INC.

Practice address

700 NE Loop 820
Suite 200a
Hurst, TX 76053-4634

Phone

(817) 905-1277

Fax

(817) 887-5821

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Betty J. Eitel, PH.D.NPI 1316027477

Title

Owner

Phone

(817) 905-1277

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betty J. Eitel, PH.D.

  • Counseling Psychologist
  • Hurst, TX
  • NPI 1316027477
  Medicare reassignment Authorized official
• Shannon R. Brown, D.C.

  • Chiropractor
  • Benbrook, TX
  • NPI 1912042581
  NPD
• Carol R. Wadsworth, PH.D.

  • Clinical Psychologist
  • Hurst, TX
  • NPI 1427420249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255411310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE LOOP 820",
            "address_2": "SUITE 200A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534634",
            "telephone_number": "817-905-1277",
            "fax_number": "817-887-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE LOOP 820",
            "address_2": "SUITE 200A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534634",
            "telephone_number": "817-905-1277",
            "fax_number": "817-887-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW PSYCHOLOGICAL & CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EITEL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-905-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "31363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178841601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87118A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rabiha Kiran Ali Dewany, MS, OTR/L
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• DFW Integrative Center, LLC.
• DFW Integrative Rehabilitation
• Diagnostex Consultants PLLC
• Diagnostic Health Centers of Texas Limited Partnership
• David Diaz, LMSW
• Reuben Zeth Diaz, PTA
• Dignified Homecare for Seniors LLC

• Counseling Psychologist in Hurst, TX
• Providers in Hurst, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.