Individual provider Active NPI

Dawn Toudouze

  • Psychologist
  • Dallas, TX
National Provider Identifier
1457802209
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34237 Issued in TX
Practice address
12820 Hillcrest Rd
Ste C224
Dallas, TX 75230-1526
Phone
(972) 772-8484
NPI assigned
Oct 17, 2016
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34237 TX Primary

Addresses

Primary practice location

12820 Hillcrest Rd
Ste C224
Dallas, TX 75230-1526

Mailing address

1118 Alpine Dr
Richardson, TX 75080-3397
Phone (214) 499-8488

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123000596 TX Practitioner - Clinical Psychologist 0244519833 Practice locations: Richardson, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1118 Alpine Dr
Richardson, TX 75080-3397

1475 Richardson Dr
Suite 230
Richardson, TX 75080-4659
Phone (469) 200-6777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34237TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lattie Psychological Associates PLLC PastSince Oct 31, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1457802209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ALPINE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803397",
            "telephone_number": "214-499-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "STE C224",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "972-772-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUDOUZE",
        "first_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.