Active NPI
Teladoc PA
- Psychologist
- Lewisville, TX
National Provider Identifier
1285082560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- TELADOC PA
- Practice address
- 1945 Lakepointe Dr
Lewisville, TX 75057 - Phone
- (214) 302-5246
- NPI assigned
- May 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Gall Jr.
- Title
- Director of Operations
- Phone
- (214) 302-5246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1945 Lakepointe Dr
Lewisville, TX 75057
Mailing address
1945 Lakepointe Dr
Lewisville, TX 75057
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464307200000",
"number": "1285082560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 LAKEPOINTE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 LAKEPOINTE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75057",
"telephone_number": "214-302-5246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELADOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-27",
"status": "A",
"authorized_official_last_name": "GALL",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "214-302-5246",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.