Jack Jaffe

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JACK JAFFE

Practice address

12700 Hillcrest Rd Ste 125
Dallas, TX 75230-2009

Phone

(972) 693-5485

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Jack Jaffe, PSYDNPI 1144334269

Title

Owner

Phone

(972) 693-5485

Specialties & licenses 1

Addresses

Other names 1

• Jaffe Psychological Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Jaffe, PSYD

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1144334269
  NPD Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1508620766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 FOXWORTH DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483038",
            "telephone_number": "972-693-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302009",
            "telephone_number": "972-693-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK JAFFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-693-5485",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaffe Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• April N Jack, D.D.S.
• Callie Jack

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.