Organization Active NPI

Dallas Mental Health and Performance, PLLC

  • Psychologist
  • Dallas, TX
National Provider Identifier
1326731464
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DALLAS MENTAL HEALTH AND PERFORMANCE, PLLC
Practice address
12801 N Central Expy Ste 1560
Dallas, TX 75243-1886
Phone
(469) 900-7536
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Dr. Allyson Wade, PHDNPI 1104350297
Title
Owner, Licensed Psychologist
Phone
(469) 900-7536

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
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

12801 N Central Expy Ste 1560
Dallas, TX 75243-1886

Mailing address

12801 N Central Expy Ste 1560
Dallas, TX 75243-1886
Phone (469) 900-7536

National Provider Directory

National Provider Directory

Locations

12801 N Central Expy
Ste 1560
Dallas, TX 75243
Phone (469) 242-0123

Practitioners & affiliated clinicians

Practitioners 1

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1326731464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 N CENTRAL EXPY STE 1560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431886",
            "telephone_number": "469-900-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 N CENTRAL EXPY STE 1560",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431886",
            "telephone_number": "469-900-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS MENTAL HEALTH AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER, LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-900-7536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "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 2, 2023; 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.