Align Psychological Services, PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

36715 Issued in TX

Legal business name

ALIGN PSYCHOLOGICAL SERVICES, PLLC

Practice address

14785 Preston Rd
Suite 550
Dallas, TX 75254-7876

Phone

(214) 801-7699

Fax

(214) 301-0990

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stevie Puckett, PH.D., LSSP

Title

Child Psychologist, Owner

Phone

(214) 801-7699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1477911337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 PRESTON RD",
            "address_2": "SUITE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547876",
            "telephone_number": "214-801-7699",
            "fax_number": "214-301-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 PRESTON RD",
            "address_2": "SUITE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547876",
            "telephone_number": "214-801-7699",
            "fax_number": "214-301-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "CHILD PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "214-801-7699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LSSP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "36715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.