Active NPI
Legacy Assessment Group, LLC
- Psychologist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 24635
- Legal business name
- LEGACY ASSESSMENT GROUP, LLC
- Practice address
- 1341 W Mockingbird LN Ste 760
Dallas, TX 75247-6913 - Phone
- (214) 760-1964
- Fax
- (214) 760-9505
- NPI assigned
- Mar 7, 2012
- Last updated
- Aug 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Jafarzadeh, PSYD
- Title
- Owner
- Phone
- (214) 760-1964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 24635 | TX | Primary |
Addresses
Primary practice location
1341 W Mockingbird LN Ste 760
Dallas, TX 75247-6913
Mailing address
1341 W Mockingbird LN Ste 760
Dallas, TX 75247-6913
Phone (214) 760-1964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309543201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16415 Addison Rd
Ste 640
Addison, TX 75001
Phone (214) 760-1964
600 Six Flags Dr
Ste 400
Arlington, TX 76011
Phone (817) 385-0088
1341 W Mockingbird Ln
Ste 760
Dallas, TX 75247
Phone (214) 760-1964
1341 W Mockingbird Ln
Ste 760W
Dallas, TX 75247
Phone (214) 760-1964
1412 Main St
Ste 205
Dallas, TX 75202
Phone (214) 760-1964
1412 Main St
Ste 320
Dallas, TX 75202
Phone (214) 736-8816
100 E 15th St
Ste 310
Fort Worth, TX 76102
Phone (214) 760-1964
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Dallas, TX
- NPI 1922544113
-
- Clinical Psychologist
- Dallas, TX
- NPI 1629757299
-
- Counselor
- Dallas, TX
- NPI 1760758882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1316211436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W MOCKINGBIRD LN STE 760",
"city": "DALLAS",
"state": "TX",
"postal_code": "752476913",
"telephone_number": "214-760-1964",
"fax_number": "214-760-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 W MOCKINGBIRD LN STE 760",
"city": "DALLAS",
"state": "TX",
"postal_code": "752476913",
"telephone_number": "214-760-1964",
"fax_number": "214-760-9505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY ASSESSMENT GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-07",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "JAFARZADEH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-760-1964",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "24635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309543201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Jonathan D Leffert, M.D.
- Gary David Lefkof, M.D.
- Marsha Beth Lefkof, P.T.
- Judith Lynn Leflore, PHD, RN, NNP, CPNP
- Lyndsay Gayle Leftwich-Paquette, CNP
- Legacy Chiropractic and Sports Medicine
- Legacy Counseling Center Inc
- Legacy Dental of East Dallas, PLLC
- Legacy Dental of Glen Oaks
- Legacy Dental of Mesquite PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.