Active NPI
Denise T Humphrey, PH.D.
- Psychologist
- Dallas, TX
National Provider Identifier
1376638346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32345
- Practice address
- 6320 Lyndon B Johnson Fwy
Suite 221
Dallas, TX 75240-6472 - Phone
- (972) 239-2490
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32345 | TX | Primary |
Addresses
Primary practice location
6320 Lyndon B Johnson Fwy
Suite 221
Dallas, TX 75240-6472
Mailing address
6320 Lyndon B Johnson Fwy
Suite 221
Dallas, TX 75240-6472
Phone (972) 239-2490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32345 | TX | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Dallas, TX
- NPI 1831514645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1376638346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 LYNDON B JOHNSON FWY",
"address_2": "SUITE 221",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406472",
"telephone_number": "972-239-2490",
"fax_number": "972-386-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 LYNDON B JOHNSON FWY",
"address_2": "SUITE 221",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406472",
"telephone_number": "972-239-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREY",
"first_name": "DENISE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "32345",
"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 Jul 23, 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.