Daisy Blagg, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37419 Issued in TX

Practice address

305 W Woodard St Ste 201
Denison, TX 75020-3136

Phone

(903) 462-0032

Fax

(903) 496-0713

NPI assigned

Oct 12, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuropsychology Consultants PLLCGroup PAC ID 8729350541, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuropsychology Consultants PLLC

  • Psychologist
  • McKinney, TX
  • NPI 1366875783
  Medicare reassignment Care Compare group
• Texoma Psychological Services PLLC

  • Clinical Psychologist
  • Denison, TX
  • NPI 1942717814
  Authorized official Same address or phone
• Tidemark Therapy PLLC

  dba Brittainy A. Wagner, LPC

  • Clinic/Center
  • Denison, TX
  • NPI 1275939001
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417407537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W WOODARD ST STE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203136",
            "telephone_number": "903-462-0032",
            "fax_number": "903-496-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W WOODARD ST STE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203136",
            "telephone_number": "903-462-0032",
            "fax_number": "903-496-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Preston Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935186",
            "country_code": "US",
            "telephone_number": "214-809-6041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAGG",
        "first_name": "DAISY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37419",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "37419",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "32694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Arthur Bergman II, L.P.C.
• Razel Eileen Biddle, NP
• Big Country Rehabilitation Inc (Steps 2 Strides of Denison)
• Blackburn Social Services PLLC
• Anthony P Blackburn, LCSW
• Benjamin Jay Blake, D.O.
• Robert Marsden Blanch, M.D.
• Micah Leigh Blevins-Rudd
• Blissful Hospice and Palliative Care LLC (Angel Hands Hospice of Texoma)
• Carrie Boettger, LPC

• Clinical Psychologist in Denison, TX
• Providers in Denison, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.