Individual provider Active NPI

Deborah Lowe, PHD

  • Clinical Neuropsychologist
  • Lewisville, TX
National Provider Identifier
1295263879
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
38101 Issued in TX
Practice address
751 Hebron Pkwy Ste 240
Lewisville, TX 75057-5122
Phone
(469) 549-4200
Fax
(469) 549-4201
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Neuropsychologist 103G00000X 38101 TX Primary

Addresses

Primary practice location

751 Hebron Pkwy Ste 240
Lewisville, TX 75057-5122

Mailing address

751 Hebron Pkwy Ste 240
Lewisville, TX 75057-5122
Phone (469) 549-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514000447 TX Practitioner - Clinical Psychologist 7517297393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnson Neuropsychology, PLLCGroup PAC ID 2769515873, 6 clinicians

Practice addresses (Care Compare)

751 Hebron Pkwy
Suite 310
Lewisville, TX 75057-5054
Phone (469) 549-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
38101TXMDClinical Neuropsychologist
1337OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Neuropsychology, PLLC Clinical Neuropsychologist CurrentSince May 7, 2020 Accepting new patients

Locations

751 Hebron Pkwy
Ste 310
Lewisville, TX 75057
Phone (469) 549-4200

751 Hebron Pkwy
Ste 240
Lewisville, TX 75057
Phone (469) 549-4200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1295263879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 240",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575122",
            "telephone_number": "469-549-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 240",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575122",
            "telephone_number": "469-549-4200",
            "fax_number": "469-549-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "DEBORAH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "38101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.