Organization Active NPI

Psychoneuroplasticity, LLC

  • Clinic/Center
  • Lewisville, TX
National Provider Identifier
1427375252
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PSYCHONEUROPLASTICITY, LLC
Practice address
571 W Main St
Suite 210
Lewisville, TX 75057-3628
Phone
(972) 434-5454
Fax
(972) 420-1111
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Barbara S. Peavey, PHD
Title
Co-Founder
Phone
(972) 434-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

571 W Main St
Suite 210
Lewisville, TX 75057-3628

Mailing address

571 W Main St
Suite 210
Lewisville, TX 75057-3628
Phone (972) 434-5454

Other names 1

  • PsychoNeuroPlasticity (PNP) Center Doing business as

National Provider Directory

National Provider Directory

Locations

571 W Main St
Ste 210
Lewisville, TX 75057
Phone (972) 434-5454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1427375252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573628",
            "telephone_number": "972-434-5454",
            "fax_number": "972-420-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST",
            "address_2": "SUITE 210",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573628",
            "telephone_number": "972-434-5454",
            "fax_number": "972-420-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHONEUROPLASTICITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "PEAVEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "972-434-5454",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PsychoNeuroPlasticity (PNP) Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.