Cncbt Psychological Services, PLLC

Organization Active NPI Clinical Psychologist · Aubrey, TX

NPI 1548095623 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1548095623
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
Legal business name
CNCBT PSYCHOLOGICAL SERVICES, PLLC
Practice address
1120 Knoll St
Aubrey, TX 76227-1810
Phone
(213) 234-8268
NPI assigned
Sep 6, 2024
Organization subpart
No

Authorized official

Name
Dr. Richard K Sohn, PSY.D., LP
Title
Authorized Official
Phone
(213) 234-8268

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240923003674 TX Part B Supplier - Clinic/Group Practice 5991246589 Receives reassigned benefits from 1 practitioner
Practice locations: Aubrey, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X Yes

Addresses

Primary practice location

1120 Knoll St
Aubrey, TX 76227-1810

Mailing address

1120 Knoll St
Aubrey, TX 76227-1810
Phone (213) 234-8268

Other providers in Aubrey, TX

All providers in Aubrey, TX · Clinical Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.