Individual provider Active NPI

Sarah Nuche, PH. D

  • Clinical Child & Adolescent Psychologist
  • Dallas, TX
National Provider Identifier
1518981273
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
24785 Issued in TX
Practice address
6350 LBJ Freeway
Suite 254
Dallas, TX 75240-6462
Phone
(972) 490-8833
Fax
(972) 490-8834
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 24785 TX Primary

Addresses

Primary practice location

6350 LBJ Freeway
Suite 254
Dallas, TX 75240-6462

Mailing address

6350 LBJ Freeway
Suite 254
Dallas, TX 75240-6462
Phone (972) 490-8833

Other identifiers 1

IdentifierTypeStateIssuer
040830402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24785TXMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1518981273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LBJ FREEWAY",
            "address_2": "SUITE 254",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406462",
            "telephone_number": "972-490-8833",
            "fax_number": "972-490-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LBJ FREEWAY",
            "address_2": "SUITE 254",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406462",
            "telephone_number": "972-490-8833",
            "fax_number": "972-490-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCHE",
        "first_name": "SARAH",
        "credential": "PH. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "24785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040830402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.