Organization Active NPI

Paul K. Chafetz PHD PLLC

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1316463847
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22365 Issued in TX
Legal business name
PAUL K. CHAFETZ PHD PLLC
Practice address
8340 Meadow Rd Ste 134
Dallas, TX 75231
Phone
(469) 233-5566
NPI assigned
Aug 16, 2017
Last updated
May 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Lori Billman
Title
Claims Manager
Phone
(817) 470-6676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 22365 TX
Clinical Psychologist 103TC0700X 22365 TX Primary

Addresses

Primary practice location

8340 Meadow Rd Ste 134
Dallas, TX 75231

Mailing address

PO Box 92878
Southlake, TX 76092-0878
Phone (817) 470-6676

Other identifiers 1

IdentifierTypeStateIssuer
035835001MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1316463847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92878",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920878",
            "telephone_number": "817-470-6676",
            "fax_number": "541-637-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MEADOW RD STE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "469-233-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL K. CHAFETZ PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "BILLMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "817-470-6676"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22365",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035835001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 May 31, 2018; 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.