Psymed Health

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Legal business name

PSYMED HEALTH

Practice address

2014 Ben Merritt Dr
Suite a
Decatur, TX 76234-3850

Phone

(214) 536-1049

Fax

(469) 914-5363

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dwayne Guccione

Title

Owner

Phone

(214) 536-1049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1467800300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 THAMES CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525032",
            "telephone_number": "214-536-1049",
            "fax_number": "469-914-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BEN MERRITT DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343850",
            "telephone_number": "214-536-1049",
            "fax_number": "469-914-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYMED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "GUCCIONE",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-536-1049"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Psychologist in Decatur, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.