Individual provider Active NPI

Elaine Schoka Traylor, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1477565455
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1-5552 Issued in TX
Practice address
2501 Oak Lawn Ave
Suite 201
Dallas, TX 75219-4090
Phone
(214) 559-2171
Fax
(214) 559-2218
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1-5552 TX Primary

Addresses

Primary practice location

2501 Oak Lawn Ave
Suite 201
Dallas, TX 75219-4090

Mailing address

2501 Oak Lawn Ave
Suite 201
Dallas, TX 75219-4090
Phone (214) 559-2171

Other identifiers 2

IdentifierTypeStateIssuer
87016AOtherTXBCBS
P00120267-CJ6781OtherTXMCR RAILROAD

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
I20031204000554 TX Practitioner - Clinical Psychologist 7911802772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians

Practice addresses (Care Compare)

18648 Hillcrest Rd
Dallas, TX 75252-2752
Phone (972) 517-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1-5552TXMDClinical Psychologist
15552TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Apr 28, 2021 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Aug 1, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 20, 2021 Accepting new patients
Galaxy Counseling Center Past Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Long Term Care Services, LP Clinical Past Accepting new patients
Galaxy Counseling Center Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

99 Rigby Owen Rd
Conroe, TX 77304
Phone (574) 295-0096

18648 Hillcrest Rd
Dallas, TX 75252
Phone (972) 517-7771

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1477565455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 OAK LAWN AVE",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194090",
            "telephone_number": "214-559-2171",
            "fax_number": "214-559-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OAK LAWN AVE",
            "address_2": "SUITE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194090",
            "telephone_number": "214-559-2171",
            "fax_number": "214-559-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "ELAINE",
        "middle_name": "SCHOKA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "1-5552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87016A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD",
            "identifier": "P00120267-CJ6781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.