Organization Active NPI

Frisco Psychology Group Inc

  • Psychologist
  • McKinney, TX
National Provider Identifier
1396352340
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FRISCO PSYCHOLOGY GROUP INC
Practice address
3725 Angeles Ave
McKinney, TX 75070-5402
Phone
(773) 879-8272
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Tara Thompson, PSYDNPI 1174674501
Title
Psychologist
Phone
(773) 879-8272

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 1

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

Addresses

Primary practice location

3725 Angeles Ave
McKinney, TX 75070-5402

Mailing address

3725 Angeles Ave
McKinney, TX 75070-5402
Phone (773) 879-8272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210609000982 TX Part B Supplier - Clinic/Group Practice 2062812233 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX; Frisco, TX

National Provider Directory

National Provider Directory

Locations

1820 Preston Park Blvd
Plano, TX 75093
Phone (210) 413-7479

Practitioners & affiliated clinicians

Practitioners 1

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1396352340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 ANGELES AVE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705402",
            "telephone_number": "773-879-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 ANGELES AVE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705402",
            "telephone_number": "773-879-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO PSYCHOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-879-8272",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.