Preston Hollow Health & Wellness, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36341 Issued in TX

Legal business name

PRESTON HOLLOW HEALTH & WELLNESS, PLLC

Practice address

8140 Walnut Hill LN Ste 320
Dallas, TX 75231-4328

Phone

(972) 773-9027

Fax

(972) 474-9043

NPI assigned

Jun 5, 2017

Last updated

Oct 3, 2023By 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

Jennifer W. Bradford, PHDNPI 1306199245

Title

Owner

Phone

(972) 863-2232

Specialties & licenses 3

Addresses

Locations

Practitioners 4

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.

• Jennifer W. Bradford, PHD

  • Psychologist
  • Dallas, TX
  • NPI 1306199245
  NPD (past) Authorized official
• Monica Gutierrez

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1104577311
  NPD
• Whitney A Hardy, PHD

  • Mental Health Counselor
  • Plano, TX
  • NPI 1326547720

  Psychologist

  NPD (past)
• Kimberly Dianne Hernandez, PH.D.

  • Counseling Psychologist
  • Dallas, TX
  • NPI 1922638758
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1487183406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314328",
            "telephone_number": "972-773-9027",
            "fax_number": "972-474-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314328",
            "telephone_number": "972-773-9027",
            "fax_number": "972-474-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON HOLLOW HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-863-2232",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36341",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37647",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Diagnostics LLC
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• Preston Forest Family Clinic, P.a.
• Preston Hollow Allergy, PLLC
• Preston Hollow Emergency Room
• Preston Hollow Home Care Inc (Preston Hollow Home Care)
• Preston Hollow Orthodontics
• Preston Hollow Pediatrics, PLLC
• Preston Hollow Periodontics & Implantology, PC
• Preston Hollow Psychotherapy Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.