Organization Active NPI

Neuroskills Integrated Learning and Consulting, PC

  • Clinical Psychologist
  • Arlington, TX
National Provider Identifier
1255813143
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEUROSKILLS INTEGRATED LEARNING AND CONSULTING, PC
Practice address
1201 N Watson Rd Ste 228
Arlington, TX 76006-6248
Phone
(682) 321-7004
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Mathias NgwaNPI 1982094785
Title
PSYD
Phone
(682) 321-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1201 N Watson Rd Ste 228
Arlington, TX 76006-6248

Mailing address

1201 N Watson Rd Ste 228
Arlington, TX 76006-6248
Phone (682) 321-7004

Other identifiers 1

IdentifierTypeStateIssuer
4132003MedicaidTX

Other names 1

  • Neuroskills Integrated Learning and Consulting, PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1255813143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 228",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066248",
            "telephone_number": "682-321-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 228",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066248",
            "telephone_number": "682-321-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSKILLS INTEGRATED LEARNING AND CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "NGWA",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_title_or_position": "PSYD",
        "authorized_official_telephone_number": "682-321-7004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4132003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuroskills Integrated Learning and Consulting, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.