Organization Active NPI

Family Dynamics Inc

  • Social Worker
  • Dallas, TX
National Provider Identifier
1407842578
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2443 Issued in TX
Legal business name
FAMILY DYNAMICS INC
Practice address
12850 Hillcrest Rd
Suite F-206
Dallas, TX 75230-1529
Phone
(972) 404-8253
Fax
(972) 701-0874
NPI assigned
Sep 23, 2005
Last updated
Sep 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Mary Ellen Durham, LCSW-ACP, LMFT
Title
President
Phone
(972) 404-8253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2443 TX Primary

Addresses

Primary practice location

12850 Hillcrest Rd
Suite F-206
Dallas, TX 75230-1529

Mailing address

12850 Hillcrest Rd
Suite F-206
Dallas, TX 75230-1529
Phone (972) 404-8253

Other identifiers 1

IdentifierTypeStateIssuer
06MROtherTXBCBS

National Provider Directory

National Provider Directory

Locations

12201 Merit Dr
Ste 250
Dallas, TX 75251
Phone (972) 404-8253

12850 Hillcrest Rd
#F206
Dallas, TX 75230
Phone (972) 404-8253

12850 Hillcrest Rd
Ste F206
Dallas, TX 75230
Phone (972) 404-8253

Practitioners & affiliated clinicians

Practitioners 2

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1407842578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 HILLCREST RD",
            "address_2": "SUITE F-206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301529",
            "telephone_number": "972-404-8253",
            "fax_number": "972-701-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 HILLCREST RD",
            "address_2": "SUITE F-206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301529",
            "telephone_number": "972-404-8253",
            "fax_number": "972-701-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DYNAMICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-404-8253",
        "authorized_official_credential": "LCSW-ACP, LMFT"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "2443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06MR",
            "state": "TX"
        }
    ],
    "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 Sep 29, 2010; 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.