Individual provider Active NPI

Sat Kartar Singh Khalsa, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1518906593
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31114 Issued in TX
Practice address
3011 Hood St
Ste 101
Dallas, TX 75219-4926
Phone
(469) 271-9259
Fax
(214) 771-0593
NPI assigned
Jun 5, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31114 TX Primary

Addresses

Primary practice location

3011 Hood St
Ste 101
Dallas, TX 75219-4926

Mailing address

3011 Hood St
Ste 101
Dallas, TX 75219-4926
Phone (469) 271-9259

Other identifiers 1

IdentifierTypeStateIssuer
1178352-09MedicaidTX

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
I20050314001102 TX Practitioner - Clinical Psychologist 1254386113 Reassigns benefits to 1 organization
Practice locations: Dallas, TX; Van, TX; Tyler, TX; Gladewater, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3011 Hood St
Suite 101
Dallas, TX 75219-4926
Phone (469) 271-9259

8140 Walnut Hill LN
Dallas, TX 75231-4461
Phone (469) 271-9259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31114TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Camp Medical Management, LLC CurrentSince Mar 22, 2019 Accepting new patients
RGV Senior Care, PC Clinical Past Accepting new patients
Madsen Medical, LLC PastSince Apr 9, 2024 Accepting new patients
Pinkerman & Gonzalez Psychological Clinical Past Accepting new patients

Locations

208 W Spring Valley Rd
Richardson, TX 75081
Phone (972) 238-1976

620 James Dr
Richardson, TX 75080
Phone (972) 238-1976

Organizations & group practices 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1518906593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 HOOD ST",
            "address_2": "STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194926",
            "telephone_number": "469-271-9259",
            "fax_number": "214-771-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HOOD ST",
            "address_2": "STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194926",
            "telephone_number": "469-271-9259",
            "fax_number": "214-771-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "SAT KARTAR",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178352-09",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.