Organization Active NPI

Gumm Psychological Services, PC

Doing business as William B Gumm PhD & Associates

  • Psychologist
  • Hurst, TX
National Provider Identifier
1386829711
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GUMM PSYCHOLOGICAL SERVICES, PC
Doing business as
William B Gumm PhD & Associates
Practice address
1848 Norwood Plaza
Suite 112
Hurst, TX 76054-3751
Phone
(817) 282-6655
Fax
(817) 282-6657
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Ranee B Gumm, PHDNPI 1104834175
Title
Psychologist/Owner
Phone
(817) 282-6655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

1848 Norwood Plaza
Suite 112
Hurst, TX 76054-3751

Mailing address

1848 Norwood Plaza
Suite 112
Hurst, TX 76054-3751
Phone (817) 282-6655

Other names 1

  • William B Gumm PhD & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150421000660 TX Part B Supplier - Clinic/Group Practice 4183942204 Receives reassigned benefits from 1 practitioner
Practice locations: Colleyville, TX

National Provider Directory

National Provider Directory
Tax ID family
Gumm Psychological Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1501 Norwood Dr
Ste 122
Hurst, TX 76054
Phone (817) 282-6655

124 W Harwood Rd
Ste A
Hurst, TX 76054
Phone (817) 576-4222

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1386829711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 NORWOOD PLAZA",
            "address_2": "SUITE 112",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543751",
            "telephone_number": "817-282-6655",
            "fax_number": "817-282-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 NORWOOD PLAZA",
            "address_2": "SUITE 112",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543751",
            "telephone_number": "817-282-6655",
            "fax_number": "817-282-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUMM PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "GUMM",
        "authorized_official_first_name": "RANEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "817-282-6655",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William B Gumm PhD & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.