Individual provider Active NPI

Veronica A. Guerrero-Quan, MS

  • Psychologist
  • Dallas, TX
National Provider Identifier
1396430666
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38808 Issued in TX
Practice address
4305 Macarthur Ave
Dallas, TX 75209-6511
Phone
(214) 526-4525
Fax
(214) 520-6468
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38808 TX Primary

Addresses

Primary practice location

4305 Macarthur Ave
Dallas, TX 75209-6511

Mailing address

4305 Macarthur Ave
Dallas, TX 75209-6511
Phone (214) 526-4525

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Integrative Counseling and Psychology CurrentSince Apr 16, 2023 Accepting new patients
Stanley Psychology PLLC Past Accepting new patients

Locations

4305 MacArthur Ave
Dallas, TX 75209

Organizations & group practices 2

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1396430666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 MACARTHUR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096511",
            "telephone_number": "214-526-4525",
            "fax_number": "214-520-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 MACARTHUR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096511",
            "telephone_number": "214-526-4525",
            "fax_number": "214-520-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-QUAN",
        "first_name": "VERONICA",
        "middle_name": "A.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38808",
            "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 Aug 18, 2023; 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.