NPIMap

Organization Active NPI

Mind Body Wellness PC

  • Psychologist
  • Dallas, TX
National Provider Identifier
1326208703
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MIND BODY WELLNESS PC
Practice address
7557 Rambler Rd
Suite 814
Dallas, TX 75231-4142
Phone
(214) 763-1985
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Kristi Roper, PH.D.NPI 1508807207
Title
Partner
Phone
(214) 763-1985

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7557 Rambler Rd
Suite 814
Dallas, TX 75231-4142

Mailing address

PO Box 835840
Richardson, TX 75083-5840
Phone (972) 680-1577

National Provider Directory

National Provider Directory
Tax ID family
Mind Body Wellness PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7557 Rambler Rd
Ste 814
Dallas, TX 75231
Phone (214) 676-7920

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1326208703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835840",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750835840",
            "telephone_number": "972-680-1577",
            "fax_number": "972-690-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "SUITE 814",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314142",
            "telephone_number": "214-763-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-763-1985",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2008; 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.