Organization Active NPI

Cedar Hill Psychological Services, PLLC

  • Community/Behavioral Health Agency
  • Cedar Hill, TX
National Provider Identifier
1558600767
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35033 Issued in TX
Legal business name
CEDAR HILL PSYCHOLOGICAL SERVICES, PLLC
Practice address
630 N Highway 67
Cedar Hill, TX 75104-2156
Phone
(972) 291-1001
NPI assigned
Feb 7, 2013
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Joyce Annette Phillips, PSY.D.NPI 1992099428
Title
Director
Phone
(972) 291-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35033 TX Primary

Addresses

Primary practice location

630 N Highway 67
Cedar Hill, TX 75104-2156

Mailing address

PO Box 1391
Cedar Hill, TX 75106-1391
Phone (972) 291-1001

Other identifiers 1

IdentifierTypeStateIssuer
3310880-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130613000159 TX Part B Supplier - Clinic/Group Practice 1850530353 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Hill, TX

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1558600767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751061391",
            "telephone_number": "972-291-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N HIGHWAY 67",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042156",
            "telephone_number": "972-291-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-291-1001",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "35033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310880-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.