Organization Active NPI

Katherine Pang PHD PC

  • Psychologist
  • Dallas, TX
National Provider Identifier
1316315997
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36138 Issued in TX
Legal business name
KATHERINE PANG PHD PC
Practice address
6301 Gaston Ave Ste 610
Dallas, TX 75214-6289
Phone
(214) 531-7624
NPI assigned
Sep 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Katherine Pang, PHD
Title
Psychologist
Phone
(214) 531-7624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 36138 TX Primary

Addresses

Primary practice location

6301 Gaston Ave Ste 610
Dallas, TX 75214-6289

Mailing address

6301 Gaston Ave Ste 610
Dallas, TX 75214-6289
Phone (214) 531-7624

Other names 1

  • Lakewood Wellness Partners Doing business as

National Provider Directory

National Provider Directory

Locations

6301 Gaston Ave
Ste 445
Dallas, TX 75214
Phone (214) 531-7624

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1316315997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146289",
            "telephone_number": "214-531-7624",
            "fax_number": "972-474-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146289",
            "telephone_number": "214-531-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE PANG PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-531-7624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Wellness Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakewood Wellness Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 2020; 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.