Sara Diane Allen, PH.D.
Individual provider Active NPI Clinical Psychologist · Garland, TX
NPI 1306388749 · NPPES record last updated Nov 16, 2016
Key facts
- NPI
- 1306388749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 25786 (TX)
- Practice address
- 1025 S Jupiter Rd
Garland, TX 75042-7708 - Phone
- (972) 272-4429
- Fax
- (972) 494-2812
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2023 through Dec 30, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25786 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galaxy Counseling Center | Past | Accepting new patients | |
| Galaxy Counseling Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 25786 | TX | Yes |
Addresses
Primary practice location
1025 S Jupiter Rd
Garland, TX 75042-7708
Mailing address
1025 S Jupiter Rd
Garland, TX 75042-7708
Phone (972) 272-4429
Other providers in Garland, TX
- Allan S. Disraeli, M.D., P.a.
- Allison Claire Allbee
- Adelle Mary Allen
- Erica Allen
- Lindsey Allen
- Stephanie Jo Allen
- Victor Lee Allen
- Allergy Clinic of Garland, P.a.
- Allergy Partners of Texas, Inc.
- Allsmiles PA
All providers in Garland, TX · Clinical Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.