Dallas Center for Collaborative Psychology

Primary specialty

PsychologistTaxonomy code 103T00000X

License

37331 Issued in TX

Legal business name

DALLAS CENTER FOR COLLABORATIVE PSYCHOLOGY

Practice address

2600 State St
Dallas, TX 75204-2633

Phone

(469) 844-7622

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Caroline J Lee, PSYD

Title

Licensed Psychologist

Phone

(214) 810-1063

Specialties & licenses 2

Addresses

Other names 1

• DCCP Other name

Locations

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1558804187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STATE ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042633",
            "telephone_number": "469-844-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STATE ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042633",
            "telephone_number": "469-844-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS CENTER FOR COLLABORATIVE PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "214-810-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37403",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.