Active NPI
Alan Edward Johnson, PSYD
- Psychologist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 37103
- Practice address
- 4100 Spring Valley Rd Ste 910
Dallas, TX 75244-3646 - Phone
- (214) 945-2727
- Fax
- (972) 449-7075
- NPI assigned
- Oct 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 37103 | TX | Primary |
Addresses
Primary practice location
4100 Spring Valley Rd Ste 910
Dallas, TX 75244-3646
Mailing address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (214) 945-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37103 | TX | MD | Psychologist |
| 37013 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eudaimonia Wellness, PLLC | Current | Accepting new patients | |
| Center for Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Psychologist | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Center for Psychological Services, PLLC | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
6043 W Interstate 20
Arlington, TX 76017
Phone (817) 533-0825
5900 Balcones Dr
Ste 100
Austin, TX 78731
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
3333 Lee Pkwy
Ste 600
Dallas, TX 75219
Phone (817) 533-0825
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
4100 Spring Valley Rd
Ste 910
Farmers Branch, TX 75244
Phone (214) 945-2727
1307 8th Ave
Ste 310
Ft Worth, TX 76104
Phone (817) 533-0825
1208 Fall Creek Hwy
Ste E
Granbury, TX 76049
Phone (817) 533-0818
2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000
Organizations & group practices 6
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.
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Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1417329905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "214-945-2727",
"fax_number": "972-449-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SPRING VALLEY RD STE 910",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443646",
"telephone_number": "214-945-2727",
"fax_number": "972-449-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-23",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37103",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.