Active NPI
Dorothy Pang, PH.D., LP, NCSP
- Psychologist
- Missouri City, TX
National Provider Identifier
1427857788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34486
- Practice address
- 31 Cloud Brook Dr
Missouri City, TX 77459-1418 - Phone
- (650) 495-0115
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 39898 | TX | |
| School Psychologist | 103TS0200X | 72425 | TX | |
| Psychologist | 103T00000X | 34486 | CA | Primary |
Addresses
Primary practice location
31 Cloud Brook Dr
Missouri City, TX 77459-1418
Mailing address
3790 El Camino Real # 1343
Palo Alto, CA 94306-3314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39898 | TX | MD | Psychologist |
| 72425 | TX | MD | School Psychologist |
| 34486 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1427857788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3790 EL CAMINO REAL # 1343",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 CLOUD BROOK DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774591418",
"telephone_number": "650-495-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "DOROTHY",
"credential": "PH.D., LP, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39898",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "72425",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "34486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.