MK Roberts Psychological Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

15427 Issued in TX

Legal business name

MK ROBERTS PSYCHOLOGICAL SERVICES LLC

Practice address

2524 Lillian Miller Pkwy
Suite 110
Denton, TX 76210-7206

Phone

(940) 383-2211

Fax

(940) 383-2741

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mary Kathryn Roberts, PH.D.

Title

Clincial Psychologist

Phone

(940) 383-2211

Specialties & licenses 1

Addresses

Other names 1

• MK Roberts Psychological Services LLC Doing business as

Locations

Practitioners 2

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

• Randall J Cox, PHD

  • Psychologist
  • Denton, TX
  • NPI 1366786519
  NPD (past)
• Steve B Tryling, MS, LPC, LCDC

  • Professional Counselor
  • Denton, TX
  • NPI 1851472567
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1306278353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 LILLIAN MILLER PKWY",
            "address_2": "SUITE 110",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107206",
            "telephone_number": "940-383-2211",
            "fax_number": "940-383-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 LILLIAN MILLER PKWY",
            "address_2": "SUITE 110",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107206",
            "telephone_number": "940-383-2211",
            "fax_number": "940-383-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK ROBERTS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "CLINCIAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "940-383-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Roberts Psychological Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Mitchell
• Phillip Ryan Mitchell, MS, LCDC
• Virginia Anne Mitchell, PT
• MJK DDS PC
• Mjkfit LLC
• MMKM, Inc
• MNM Lonestar Rehabilitation, Inc.
• Heather Leanne Mock, MT-BC
• Peter Nyangweso Moenga, APRN
• Angela Moffitt, PTA

• Clinic/Center in Denton, TX
• Providers in Denton, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.