Organization Active NPI

Wellqor Psychological Services of Texas, PA

  • Clinical Psychologist
  • Lewisville, TX
National Provider Identifier
1336510460
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WELLQOR PSYCHOLOGICAL SERVICES OF TEXAS, PA
Practice address
751 Hebron Pkwy Ste 240
Lewisville, TX 75057-5122
Phone
(469) 549-4200
NPI assigned
Oct 15, 2015
Last updated
Dec 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Dr. Kimberly Johnson, PSYDNPI 1962500587
Title
President
Phone
(214) 532-1631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X TX Primary

Addresses

Primary practice location

751 Hebron Pkwy Ste 240
Lewisville, TX 75057-5122

Mailing address

751 Hebron Pkwy Ste 240
Lewisville, TX 75057-5122

National Provider Directory

National Provider Directory

Locations

301 Elk Dr
Burleson, TX 76028
Phone (817) 295-6555

1530 E Sandy Lake Rd
Coppell, TX 75019
Phone (214) 390-2450

8600 N Riverside Dr
Fort Worth, TX 76244
Phone (817) 435-1320

901 W Hurst Blvd
Hurst, TX 76053
Phone (817) 590-8621

3690 Mapleshade Ln
Plano, TX 75075
Phone (972) 479-5200

714 W Arapaho Rd
Richardson, TX 75080
Phone (972) 783-8600

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": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1336510460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 240",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 240",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575122",
            "telephone_number": "469-549-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLQOR PSYCHOLOGICAL SERVICES OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-532-1631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.