Active NPI
Psychological Wellness & Assessment, PLL
- Counseling Psychologist
- Dallas, TX
National Provider Identifier
1518201946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 36341
- Legal business name
- PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL
- Practice address
- 5646 Milton St Ste 434
Dallas, TX 75206-3932 - Phone
- (972) 863-2232
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Wolf Bradford, PHD
- Title
- Licensed Psychologist
- Phone
- (972) 863-2232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17483 | TX | |
| Counseling Psychologist | 103TC1900X | 36341 | TX | Primary |
Addresses
Primary practice location
5646 Milton St Ste 434
Dallas, TX 75206-3932
Mailing address
5646 Milton St Ste 434
Dallas, TX 75206-3932
Phone (972) 863-2232
National Provider Directory
National Provider DirectoryLocations
5646 Milton St
Ste 434
Dallas, TX 75206
Phone (972) 863-2232
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychologist
- Dallas, TX
- NPI 1306199245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1518201946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5646 MILTON ST STE 434",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063932",
"telephone_number": "972-863-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5646 MILTON ST STE 434",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063932",
"telephone_number": "972-863-2232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL WELLNESS & ASSESSMENT, PLL",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "WOLF",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "972-863-2232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17483",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "36341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Psi Premier Specialties, Inc. (Medical Express, PSI)
- PSN Anesthesiology & Associates
- Psuche Healthcare LLC
- Psy-Med, Inc.
- Psychlife Mental Wellness LLC
- Psychology Consultants, PLLC
- Psychotherapy and Growth Clinic of Dallas PC
- PT Home Services of Dallas, Inc
- PT Home Services of Dallas, Inc.
- PT Home Services of Dallas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.