NPIMap

Organization Active NPI

Starbrook Therapy Center, Inc.

  • Psychologist
  • Carrollton, TX
National Provider Identifier
1407360860
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37416 Issued in TX
Legal business name
STARBROOK THERAPY CENTER, INC.
Practice address
4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548
Phone
(469) 608-1352
NPI assigned
Nov 21, 2017
Last updated
Nov 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Dr. Katie Cantero, PSYDNPI 1356699847
Title
Clinical Psychologist
Phone
(469) 608-1352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 37416 TX Primary

Addresses

Primary practice location

4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548

Mailing address

4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1407360860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 400",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 400",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104548",
            "telephone_number": "469-608-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBROOK THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "CANTERO",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-608-1352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.