Individual provider Active NPI

Nola Litwins, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1386698306
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30805 Issued in TX
Practice address
12820 Hillcrest Rd
Suite C107
Dallas, TX 75230-1526
Phone
(972) 849-4128
Fax
(469) 342-8257
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30805 TX Primary

Addresses

Primary practice location

12820 Hillcrest Rd
Suite C107
Dallas, TX 75230-1526

Mailing address

PO Box 940165
Plano, TX 75094-0165
Phone (972) 849-4128

Other identifiers 1

IdentifierTypeStateIssuer
0404089-02MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041101001124 TX Practitioner - Clinical Psychologist 4082676028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lori Golden, PH.D. LLCGroup PAC ID 2860596228, 2 clinicians

Practice addresses (Care Compare)

10300 N Central Expy
Suite 324
Dallas, TX 75231-8611
Phone (214) 228-0796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Golden, PH.D. LLC Clinical CurrentSince May 1, 2009 Accepting new patients
Best Choice Home Care, Inc. PastSince May 1, 2023 Accepting new patients
Camp Medical Management, LLC Past Accepting new patients
Vericare, P.C. Clinical Past Accepting new patients

Locations

10300 N Central Expy
Ste 324
Dallas, TX 75231
Phone (214) 228-0796

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1386698306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940165",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750940165",
            "telephone_number": "972-849-4128",
            "fax_number": "469-342-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE C107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "972-849-4128",
            "fax_number": "469-342-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWINS",
        "first_name": "NOLA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404089-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.