Dallas Neuropsychology PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

37022 Issued in TX

Legal business name

DALLAS NEUROPSYCHOLOGY PLLC

Practice address

777 Justin Rd
Rockwall, TX 75087-4840

Phone

(214) 620-5580

Fax

(469) 264-5037

NPI assigned

Dec 1, 2016

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi Buchanan, PH.D.NPI 1659761625

Title

Owner/Psychologist

Phone

(214) 620-5580

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Brandi Buchanan, PHD

  • Clinical Psychologist
  • Rockwall, TX
  • NPI 1659761625
  Medicare reassignment Care Compare group Authorized official
• Carrie Minette Murdick, M.S CCC-SLP

  • Speech-Language Pathologist
  • Rockwall, TX
  • NPI 1477114288
  Medicare reassignment Care Compare group
• Dayle Cathleen Lattie, PSY.D.

  • Clinical Psychologist
  • Mandeville, LA
  • NPI 1508035353
  NPD (past)

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1407399983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "214-620-5580",
            "fax_number": "469-264-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "214-620-5580",
            "fax_number": "469-264-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-620-5580",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37022",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375101801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Sacky Dacus, PHARMD
• Dale H. Wright, O.D. PLLC
• Dallas Care at Home, L.P.
• Dallas Dermatology (Dermatology Center of Rockwall)
• Dallas Lung Care
• Dallas Orthodontic Specialists PLLC (OrthodonTEX)
• Donna Daneshpajooh, OD
• Daniel Douglas Dentistry PLLC
• Daniel Max & Marcandrea LLC
• Daniel Woodward DC PLLC (Doc's Body Shop Chiropractic)

• Clinical Neuropsychologist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.