Active NPI
Ar Psychological Services PLLC
- Clinical Psychologist
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34091
- Legal business name
- AR PSYCHOLOGICAL SERVICES PLLC
- Practice address
- 231 E Southlake Blvd
Suite 140
Southlake, TX 76092-6285 - Phone
- (908) 720-3118
- NPI assigned
- Jun 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amanpreet Randazzo, PSYD
- Title
- Ceo
- Phone
- (908) 720-3118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34091 | Primary |
Addresses
Primary practice location
231 E Southlake Blvd
Suite 140
Southlake, TX 76092-6285
Mailing address
231 E Southlake Blvd
Suite 140
Southlake, TX 76092-6285
Phone (908) 720-3118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
231 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 381-8161
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Southlake, TX
- NPI 1467696823
-
- Clinical Social Worker
- Denton, TX
- NPI 1366141392
-
- Psychologist
- Rockwall, TX
- NPI 1003461013
-
- Clinical Social Worker
- Southlake, TX
- NPI 1063118859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1467892810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E SOUTHLAKE BLVD",
"address_2": "SUITE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926285",
"telephone_number": "908-720-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E SOUTHLAKE BLVD",
"address_2": "SUITE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926285",
"telephone_number": "908-720-3118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AR PSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-30",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "RANDAZZO",
"authorized_official_first_name": "AMANPREET",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-720-3118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": "34091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.