Organization Active NPI

Vivian a Collins PHD PC

  • Psychologist
  • Denison, TX
National Provider Identifier
1376504340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
15523 Issued in TX
Legal business name
VIVIAN A COLLINS PHD PC
Practice address
2402 W Morton St
Suite 114
Denison, TX 75020
Phone
(903) 327-8118
Fax
(903) 327-8474
NPI assigned
Mar 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vivian Alice Collins, PHD
Title
President Director
Phone
(903) 327-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 15523 TX Primary

Addresses

Primary practice location

2402 W Morton St
Suite 114
Denison, TX 75020

Mailing address

483 Neva Lane
Denison, TX 75020
Phone (903) 327-8118

Other names 1

  • Collins Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

2402 W Morton St
Ste 114
Denison, TX 75020
Phone (903) 327-8118

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376504340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 NEVA LANE",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-327-8118",
            "fax_number": "903-327-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W MORTON ST",
            "address_2": "SUITE 114",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "903-327-8118",
            "fax_number": "903-327-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN A COLLINS PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "903-327-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "15523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collins Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.