Individual provider Active NPI

Cristina Sevadjian, PHD

  • Psychologist
  • Dallas, TX
National Provider Identifier
1295405082
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37131 Issued in TX
Practice address
8150 N Central Expy # M-1065
Dallas, TX 75206-1815
Phone
(214) 736-9955
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37131 TX Primary

Addresses

Primary practice location

8150 N Central Expy # M-1065
Dallas, TX 75206-1815

Mailing address

8150 N Central Expy # M-1065
Dallas, TX 75206-1815
Phone (214) 736-9955

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cristina@sparrowhousecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37131TXMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1295405082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY # M-1065",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-736-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY # M-1065",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-736-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVADJIAN",
        "first_name": "CRISTINA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cristina@sparrowhousecounseling.com",
            "affiliation": "N",
            "address_1": "8150 N Central Expy # M-1065",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752061815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.