One Life Child Development Center, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ONE LIFE CHILD DEVELOPMENT CENTER, PLLC

Practice address

4100 Spring Valley Rd Ste 930
Dallas, TX 75244-3755

Phone

(214) 536-6992

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Alexandra Pillat, PHDNPI 1104597699

Title

Psychologist

Phone

(214) 536-6992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alexandra Pillat

  • Psychologist
  • Dallas, TX
  • NPI 1104597699
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1285449843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 FARQUHAR LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752092202",
            "telephone_number": "214-908-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SPRING VALLEY RD STE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443755",
            "telephone_number": "214-536-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10432 North Water Street",
            "address_purpose": "LOCATION",
            "city": "Ephraim",
            "state": "WI",
            "postal_code": "542115421",
            "country_code": "US",
            "telephone_number": "920-363-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE LIFE CHILD DEVELOPMENT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "PILLAT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-536-6992",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Adolescent and Children Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.