Cca Behavioral Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17388 Issued in TX

Legal business name

CCA BEHAVIORAL HEALTH, PLLC

Practice address

424 S Corinth Street Rd
Dallas, TX 75203-3418

Phone

(214) 946-3676

Fax

(214) 941-0579

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Donald Stanley Chandler Jr., PH.D.NPI 1467517839

Title

Member/Clinical Director

Phone

(214) 946-3676

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Donald Stanley Chandler, Jr., PH.D., LPC

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1467517839
  NPD (past) Authorized official
• Donald S Chandler, MD

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1902978299
  NPD (past)
• Michele Denise Chandler, LPC-S

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1275768830
  NPD (past)

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1356580195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S CORINTH STREET RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033418",
            "telephone_number": "214-946-3676",
            "fax_number": "214-941-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S CORINTH STREET RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033418",
            "telephone_number": "214-946-3676",
            "fax_number": "214-941-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCA BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MEMBER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-946-3676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Cawthon, CRNA
• Esra Caylan, M.D.
• Max A Cayo, MD, PHD
• Evangeline Tajonera Cayton, M.D.
• Rafaella Caze de Medeiros, MD
• CCC Home Health LLC
• CCRS LLC
• CCST Associates PLLC
• CDC Orthodontics PLLC
• CDPT II PC

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.