Individual provider Active NPI

Princess S Braggs, PHD

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1508691460
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
40176 Issued in TX
Practice address
5151 Harry Hines Blvd
Dallas, TX 75235-7707
Phone
(214) 645-2080
NPI assigned
Sep 2, 2024
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 40176 TX Primary
Rehabilitation Psychologist 103TR0400X 40176 TX

Addresses

Primary practice location

5151 Harry Hines Blvd
Dallas, TX 75235-7707

Mailing address

3204 Stanley St
Forney, TX 75126-6614
Phone (469) 651-1344

Other practice location 1

1400 Preston Rd Ste 300
Plano, TX 75093-3603
Phone (469) 931-2229

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
I20260501000650 TX Practitioner - Clinical Psychologist 7517488877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johnson Neuropsychology, PLLCGroup PAC ID 2769515873, 6 clinicians

Practice addresses (Care Compare)

751 Hebron Pkwy
Suite 310
Lewisville, TX 75057-5054
Phone (469) 549-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40176TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 22, 2024 Accepting new patients
Johnson Neuropsychology, PLLC Clinical Neuropsychologist CurrentSince Mar 24, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 22, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

2001 Inwood Rd
#3
Dallas, TX 75390

5151 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-3000

5184 Tex Oak Ave
Dallas, TX 75235
Phone (214) 590-6120

2655 Villa Creek Dr
Farmers Branch, TX 75234
Phone (214) 736-8376

751 Hebron Pkwy
Ste 240
Lewisville, TX 75057
Phone (469) 549-4200

751 Hebron Pkwy
Ste 310
Lewisville, TX 75057
Phone (469) 549-4200

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1508691460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 STANLEY ST",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266614",
            "telephone_number": "469-651-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357707",
            "telephone_number": "214-645-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Preston Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750933603",
            "country_code": "US",
            "telephone_number": "469-931-2229",
            "fax_number": "214-614-4610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGGS",
        "first_name": "PRINCESS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "40176",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "40176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.