Myrna Vanessa Dartson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32005 Issued in TX

Practice address

4101 McEwen Rd Ste 625
Dallas, TX 75244-5224

Phone

(214) 219-1116

Fax

(214) 219-1120

NPI assigned

May 21, 2007

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1518175595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445224",
            "telephone_number": "214-219-1116",
            "fax_number": "214-219-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445224",
            "telephone_number": "214-219-1116",
            "fax_number": "214-219-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARTSON",
        "first_name": "MYRNA",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154248201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6210885084",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darren Crosbie, D.D.S.
• Rivka Darrison, FNP-BC
• Valerie Darst, AGACNP
• Casie Darter
• Micaela Dartson, DPM
• Leah Mae Darwin, CRNA
• Dana Darwish, D.O.
• Rashid Darwish, D.C.
• Yousef Darwish
• Ananya Das, PA-C

• 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 Dec 27, 2021; 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.