Southeast Dallas Health Center

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SOUTHEAST DALLAS HEALTH CENTER

Practice address

9202 Elam Rd
Southeast Dallas Health Center
Dallas, TX 75217-4151

Phone

(214) 266-1600

NPI assigned

Mar 2, 2006

Organization subpart

No

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

Authorized official

Name

Errica L. Brown

Title

Medical Staff Coordinator

Phone

(214) 590-1396

Specialties & licenses 9

Addresses

Tax ID family

Ambulatory Care Clinic Acc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• Ambulatory Care Clinic (Acc)

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1316914666
  NPD tax ID
• Bluitt-Flowers Health Center

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1912974510
  NPD tax ID
• Deharo Saldivar Health Center

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1831166453
  NPD tax ID
• East Dallas Health Center

  • Psychologist
  • Dallas, TX
  • NPI 1518934124
  NPD tax ID
• Geriatric Center & Senior Services

  • Gerontology Nurse Practitioner
  • Dallas, TX
  • NPI 1699742213
  NPD tax ID
• Oak West Health Center

  • Psychologist
  • Dallas, TX
  • NPI 1154398758
  NPD tax ID
• Pediatrics Primary Care Clinic (PPCC)

  • Pediatric Nurse Practitioner
  • Dallas, TX
  • NPI 1679540280
  NPD tax ID
• Vickery Health Center

  • Psychologist
  • Dallas, TX
  • NPI 1831166446
  NPD tax ID

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497722011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599",
            "telephone_number": "214-590-4105",
            "fax_number": "214-590-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 ELAM RD",
            "address_2": "SOUTHEAST DALLAS HEALTH CENTER",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174151",
            "telephone_number": "214-266-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST DALLAS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERRICA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "214-590-1396"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Medical Center
• South West Center Medical PA
• Stacey M South, CRNA
• Stephanie Nicole Southall, RD, LD
• Southeast Anesthesia & Pain Management LLC
• Marve Southerland
• Southern Area Behavioral Healthcare LLC
• Southern Belle Group Inc
• Southern Care Home Health LLC
• Southern Magnolia Therapeutic Solutions

• 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 Sep 11, 2025; 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.