Integrated Psychological Assoc PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INTEGRATED PSYCHOLOGICAL ASSOC PLLC

Practice address

1130 N Kimball Ave # 130
Southlake, TX 76092-5567

Phone

(817) 349-2888

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Zane Dodd, PHD

Title

Ceo/ Director, Clinical Services

Phone

(817) 416-8970

Specialties & licenses 1

Addresses

Other names 1

• Chrysalis Center Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• James Joseph McGuffin, PHD

  • Psychologist
  • Coppell, TX
  • NPI 1720607526
  NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1467055467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 ROY LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N KIMBALL AVE # 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925567",
            "telephone_number": "817-349-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PSYCHOLOGICAL ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "ZANE",
        "authorized_official_title_or_position": "CEO/ DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "817-416-8970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdodd@thechrysaliscenter.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1130 N Kimball Ave",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760925567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chrysalis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Southlake, TX
• Providers in Southlake, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.