Lashonda Fonta Wooten, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35110 Issued in TX

Practice address

13151 Emily Rd
Ste. 240
Dallas, TX 75240

Phone

(972) 690-7526

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Jewish Family Service of Dallas, IncGroup PAC ID 3274504808, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lashonda.wooten.1@27034.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jewish Family Service of Dallas, Inc

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1982611000
  Medicare reassignment Care Compare group NPD
• Journey Psychological and Coaching Services

  • Community/Behavioral Health Agency
  • McKinney, TX
  • NPI 1295113652
  Medicare reassignment NPD Authorized official
• The Plan of North Texas

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1992072342
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1356618847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 95TH ST APT 1224",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401599",
            "telephone_number": "870-489-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 EMILY RD",
            "address_2": "STE. 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-690-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "LASHONDA",
        "middle_name": "FONTA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Woosley, CRNA
• Richard C Wootan, M.D.
• Alisha Wooten, MS CCC-SLP
• Eden Michelle Wooten, APRN, FNP-C
• Jordyn Wooten
• Matthew Wooten
• Tyler Allen Wooten, MD
• Dallin Wootton, PA-C
• Taylor B Wootton, MD
• Ann Word, MD

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.